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Recurrent hernias are difficult to treat. Popular methods of repair used to treat hernias in the past need to be critically re-evaluated. It is important to consider the wealth of the past published clinical experience in the field of herniology within the framework of current research and development. Biologic mesh development, new minimally invasive techniques in abdominal wall reconstruction, new synthetic absorbable materials are coming on the market rapidly with promises of better repair. However, one needs to maintain critical view to see if these promises will indeed translate into long term functional durable repair.

I endeavor to stay current in the realm of hernia surgery through regular conferences, bio-laboratories, industry sponsored workshops and fellowships. I have accumulated substantial experience in treating complicated recurrent incisional hernias having carried out successful complicated repairs of hernias where several previous repairs have failed (Fig.5).

I invite you discuss your particular case. Through discussion of merits and problems with the current methods of repair, my goal is to offer honest, transparent, and clear pathway to get your hernia issues addressed and to offer custom tailored approach for your particular hernia needs.

Some hernias are best addressed laparoscopically, while others require open approach. While some hernias can be repaired in a single operation in a day-surgery setting, others require admission to the hospital. Some hernias require staging. Not every patient requires a complicated component release in order to reconstruct functional abdominal wall.