EXPERT
Dr. Wasim Dar, M.D.
Transplant Surgeon
Dr. Wasim Dar is a transplant surgeon practicing in Houston, TX. Dr. Dar specializes in organ transplants, and may perform surgeries involved with the transplant of organs such as the kidneys, liver, pancreas, intestines, heart, lungs, tracheal tissue and more. As a transplant surgeon, Dr. Dar performs long, complex surgeries that might take many hours to complete. Transplant surgeons remove the organ from the donor as well as transplant the organ in the recipient. Dr. Dar works with transplant physicians, nurses and surgical residents, and is responsible for and complications which may arise during or after surgery.
24 years
Experience
Dr. Wasim Dar, M.D.
- Houston, TX
- Case Western Reserve University School of Medicine
- Accepting new patients
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How serious is abdominal hernia surgery?
Sorry for the delay in reply. The answer to your question is with all things in surgery dependent on context What kind of hernia are you getting fixed and what approach should READ MORE
Sorry for the delay in reply.
The answer to your question is with all things in surgery dependent on context
What kind of hernia are you getting fixed and what approach should you take
a. In general the most common type of hernias are inguinal (groin hernias) which affect men 75% of the time and women 25% of the time.
In this day and age, inguinal hernia repair is quite common and the risks of complications should be very very low. The preferred approach to fixing inguinal hernias is laparoscopically and with mesh. The reason for laparoscopic/robotic is that the recovery time is much shorter than an open incision (2 weeks versus 4-6 weeks) and less discomfort but should be performed by a surgeon who does laparoscopic hernia repair as a routine. The mesh is necessary to reduce the risk of the hernia coming back. In open and laparoscopic/robotic repairs of hernias without mesh, the recurrence rates (rate of it coming back) is around 15% without the use of mesh and 2-4% with the use of mesh. There are some reasons a laparoscopic repair is not attempted and open repair is preferred such as the hernia being one that has been fixed multiple times, is very large, or is in a person who is obese. In general the risk of mesh infection is also very low in inguinal hernia repair.
b. The other common types of hernias are ventral (or incisional) hernias. These are hernias which are along the abdominal wall, usually in the front wall that happen because of natural weakness in the abdominal wall (less common) or from prior surgeries (more common). The approaches to these also are either open or laparoscopic/robotic. As these hernias are more varied in size, location, and need for mesh, the risk of complications is a bit higher than in inguinal hernias and the use of mesh which reduces hernia recurrence is counterbalanced by an increased risk of infection at the wound sites.
c. Hernia repair should be at your age, assuming you are healthy a very safe procedure.
The answer to your question is with all things in surgery dependent on context
What kind of hernia are you getting fixed and what approach should you take
a. In general the most common type of hernias are inguinal (groin hernias) which affect men 75% of the time and women 25% of the time.
In this day and age, inguinal hernia repair is quite common and the risks of complications should be very very low. The preferred approach to fixing inguinal hernias is laparoscopically and with mesh. The reason for laparoscopic/robotic is that the recovery time is much shorter than an open incision (2 weeks versus 4-6 weeks) and less discomfort but should be performed by a surgeon who does laparoscopic hernia repair as a routine. The mesh is necessary to reduce the risk of the hernia coming back. In open and laparoscopic/robotic repairs of hernias without mesh, the recurrence rates (rate of it coming back) is around 15% without the use of mesh and 2-4% with the use of mesh. There are some reasons a laparoscopic repair is not attempted and open repair is preferred such as the hernia being one that has been fixed multiple times, is very large, or is in a person who is obese. In general the risk of mesh infection is also very low in inguinal hernia repair.
b. The other common types of hernias are ventral (or incisional) hernias. These are hernias which are along the abdominal wall, usually in the front wall that happen because of natural weakness in the abdominal wall (less common) or from prior surgeries (more common). The approaches to these also are either open or laparoscopic/robotic. As these hernias are more varied in size, location, and need for mesh, the risk of complications is a bit higher than in inguinal hernias and the use of mesh which reduces hernia recurrence is counterbalanced by an increased risk of infection at the wound sites.
c. Hernia repair should be at your age, assuming you are healthy a very safe procedure.
