We repair over 450 hernia surgeries a year, a significantly higher number compared to the average general surgeon's 40-50 per year, our focus on specialization is driven. Crucially, we perform over 95% of our inguinal hernia repairs, and a certain number of umbilical hernia repairs, without the use of mesh by performing the Shouldice Repair. This is a time-tested, gold standard procedure which relies on the body's natural tissue for hernia repair. The Shouldice approach not only eliminates most of the potentially serious complications associated with mesh but also at the same time contributes to an exceptionally low recurrence rate.
An added benefit is that this procedure can be performed without general anesthesia under local anesthesia. Learn more about the difference between the Shouldice method and surgical mesh by reading Dr. Nakhjo's article "Mesh Vs. No Mesh".
Abdominal wall hernias don’t have to involve lengthy, painful procedures with extended recovery times. Our method focuses on minimally invasive techniques, emphasizing that the majority of laparoscopic repairs can be performed through just two small incisions. This approach not only reduces pain but also shortens recovery time, allowing you to return to your daily activities more quickly. Watch on to learn more about how our advanced surgical techniques can make a significant difference in your hernia repair experience.
Did you know that some five million Americans have a Hernia - but only about 750,000 Americans seek treatment each year?
According to the National Center for Health Statistics, many people do not seek treatment for a hernia because they believe that the surgery needed to repair it will be complicated and invasive, requiring a long hospital stay and painful recovery.
In most cases, this is not accurate. New Jersey Hernia Surgery specialist Dr. Nakhjo performs the most advanced, minimally invasive surgical techniques to help you repair your hernia with less discomfort and downtime.
Learn more about the difference between the Shouldice method and surgical mesh by reading Dr. Nakhjo's article "Mesh Vs. No Mesh".
It’s a protrusion of an organ or tissue through an abnormal opening or tear in the body. It is commonly seen as a lump in your abdomen or groin. Unfortunately, there is no other permanent treatment for a hernia - it will not get better on its own. There are five main types of hernia:
It may seem odd, but there is no direct cause of Hernias. Sometimes, they occur from heavy lifting or any activity that increases the pressure inside the abdomen, such as straining during bowel movements. In some cases, a hernia may be present at birth, but the bulge might not be noticeable until later in life.
Common symptoms of a hernia include discomfort, pain, and often a bump that becomes sore and may grow. Some people also experience nausea, vomiting, gas, and constipation. Pain is often worse while standing, straining, or lifting heavy objects. When a hernia gets bigger, it may obstruct a passage and block blood supply which is why it is best to have it repaired promptly rather than waiting. If you are experiencing any of these symptoms, you may be a candidate for Hernia Surgery in New Jersey.
Dr. Nakhjo offers two basic types of Hernia repair that are available today - Shouldice Non-Mesh Inguinal Hernia Repair and Laparoscopic Hernia Repair with Mesh. Depending on your type of hernia, it will be performed either laparoscopically or with traditional open surgery with or without mesh. The pros and cons of each will be fully explained to the patient at the time of consultation.
Traditional laparoscopic/robotic techniques dictate 3-4 separate incisions and require the surgeon to poke additional holes through the abdominal wall to secure mesh. Dr. Nakhjo does not do any of this.
The overwhelming majority of our laparoscopic ventral hernia repairs only require 2 small incisions, the mere width of a finger nail. That’s it. Nothing Else.
It necessitates fewer incisions compared to laparoscopic appendectomy or laparoscopic gallbladder surgery.
We do not conduct robotic hernia surgeries because there is no discernible advantage over laparoscopic hernia repair. Numerous reputable studies indicate that robotic hernia repairs typically take twice as long to complete and frequently necessitate more incisions than laparoscopic hernia repairs. Furthermore, robotic surgery incurs significantly higher costs to achieve equivalent outcomes. Robotic hernia repair is an inefficient choice both in terms of cost and surgical duration for the majority of hernia procedures, often serving merely as a marketing gimmick.
Fixed, stitched and feeling like a man again! True professionals Dr. Nakhjo and his team navigated my double hernia surgery with ease. Totally alleviated all my difficulties and pain. Absolutely life changing!! Thank you!
- KW.— Montague, NJ
This is a unique approach to the repair of hernias that avoids the use of mesh. It is an elegant operation involving the sewing of 4 distinct anatomical layers together using suture material. It is a technique developed by Dr. Shouldice as part of an evolution from historic repairs known as Bassini Repairs.
The Shouldice Clinic outside of Toronto, Canada has demonstrated extraordinary safety and durability with their technique. The technique was designed by Dr.Edward Earle Shouldice and became popular when he opened his hernia hospital in 1945. His technique has attracted patients from all over the world. To this day, the surgeons at the Shouldice Hernia Clinic provide extraordinary care for their patients and continue to have excellent results. Dr. Nakhjo does everything possible to uphold their standards in performing the Shouldice Non-Mesh Inguinal Hernia Repair.
Overall short and long term results are similar to the Laparoscopic approach. The main advantage of meshless hernia repair is that it spares the patient from having to place an implantable device into the body and the risks associated with it. These risks are small overall and will be discussed in detail during your visit.
Almost all patients go home the same day and require minimal pain medication (and often Tylenol or NSAIDs can provide relief). With our Hernia Surgery New Jersey patients typically return to daily function in 1-2 days and are back to work within several days. If the patient's employment requires heavy lifting, 1-3 weeks may be necessary depending on the patient's age, weight, size of hernia, and type of job.
A hernia can be uncomfortable, unsightly, painful, and can cause life-threatening complications such as intestinal obstruction and even intestinal perforation— but knowing is half the battle. Help us educate your family and friends and encourage them to make an appointment to see Dr. Nakhjo for a Hernia Surgery evaluation. Don’t put it off any longer - get rid of your pain and back to your normal activities!
Our "Ask the Dr. Anything" service is tailored to address any questions or uncertainties you may have regarding your hernia troubles. Whether you're seeking clarification on symptoms, treatment options, or our practice, we are here to provide you with comprehensive information and guidance.
Please feel free to email us at: advancedsurgerynj.com. Under Subject type “ADA'' and Dr. Nakhjo will be happy to answer your questions.
Let's navigate the complexities of your hernia troubles together, ensuring you have the support you need for a healthier tomorrow.
For the most advanced treatment, easiest recovery, and best possible results with minimally invasive surgery in New Jersey, begin your journey with Dr. Shomaf Nakhjo today. Schedule your consultation at either of our convenient locations to begin discussing your personalized treatment plan with a highly skilled and renowned area specialist.