Personalized Hernia Care
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A hernia occurs when an organ or tissue pushes through a weakness in the surrounding muscle or connective tissue. The most common sign is a visible bulge in the abdomen or groin, often accompanied by discomfort that worsens with lifting, coughing, or straining. Some hernias are asymptomatic and found incidentally on imaging. If you suspect a hernia, a physical examination by a surgeon is the most reliable way to confirm the diagnosis.

Not always. Small, asymptomatic hernias — particularly inguinal hernias — may be safely monitored with a "watchful waiting" approach. However, hernias do not resolve on their own and tend to enlarge over time. Surgery is recommended when a hernia causes pain, grows larger, or poses a risk of incarceration or strangulation, which are surgical emergencies. We discuss the risks and benefits of repair versus observation for each individual patient.

Open repair involves a single incision directly over the hernia to access and repair the defect. Laparoscopic (minimally invasive) repair uses several small incisions and a camera to perform the repair from within the abdomen. Both are well-established techniques with excellent outcomes. The choice depends on hernia size, location, recurrence history, and patient factors. We will discuss which approach is best suited for your specific situation during your consultation.

Mesh reinforcement is the standard of care for most hernia repairs and has been shown to significantly reduce recurrence rates compared to primary suture repair alone. We use lightweight, biocompatible meshes placed in anatomically appropriate positions. For patients with concerns about mesh, we discuss the evidence, alternative approaches, and the risk-benefit balance specific to their hernia.

Most patients return to light daily activities within one to two weeks. Return to full physical activity and heavy lifting typically occurs at four to six weeks, depending on the type and complexity of the repair. Laparoscopic approaches generally allow a faster recovery than open surgery. Each patient receives a personalized activity progression plan based on their procedure and individual healing.

As part of Texas Tech Physicians of El Paso, we accept most major insurance plans including Medicare, Medicaid, Tricare, and many commercial carriers. Our scheduling team can verify your specific coverage and obtain any necessary authorizations before your appointment. Please have your insurance card available when you call to schedule.