CornerStone Article

 

Hernia Surgery: A New Look...A Speedier Recovery


Vol. 10, No. 1
March, 2000

  • Women's Gastrointestinal Health Center

  • Hernia Surgery: A New Look...A Speedier Recovery

  • Legislative Grant Supports Specialized Endoscopy Equipment

  • Pulmonary Rehabilitation Gives Patient a Starring Role in His Daughter's Wedding

  • An Update on Childhood Immunizations

  • Children Get a Dose of TLC with Winthrop's ‘Positions for Comfort' Program

  • Winthrop's Pediatric Health Immunization Program is a Statewide Model

  • Hearing Screening Performed on All Newborns

  • Spanish Language Course for Pediatric Residents

  • Psychological Support Adds Compassion to Pediatric Care and Training

  • Long Island Regional Poison Control Center at Winthrop Warns:
    ‘Children Act Fast - So Do Poisons'

  • Bereavement Support Helps Parents Cope with "Hidden Loss"

  • Nursing Informatics Enhances Patient Care

  • Reverend Winfried R. Hess Appointed Director of Pastoral Care and Education

  • Auxiliary Receives HANYS Advocacy Award

  • John F. Aloia, MD and Joan Cox Elected to Winthrop's Board of Directors

  • Copyright

    Back to Publications

  • Lights...camera...action! Mineola is a far cry from Hollywood, but surgeons at Winthrop are setting the stage for minimally invasive surgery, using miniaturized cameras to perform increasingly complex procedures. Hernia repair is among the growing number of minimally invasive procedures offered.

    A hernia is a defect in the abdominal wall that bulges or tears. Some hernias are present at birth; others occur as the result of injury or muscle strain. The inner lining of the abdomen pushes through the defect and forms a sack. A portion of the abdominal contents can slip into the sack, causing pain or other serious complications.


    With laparoscopic surgery, recovery tends to be faster, with less pain and less scarring.

    Laparoscopy is the technique that allows surgeons to repair hernias using tiny incisions rather than one large incision. The surgeon inserts a miniaturized camera into one of these incisions and a view of the surgical field is transmitted to a video monitor. The other incisions are used for insertion of tiny surgical instruments.

    "With laparoscopic surgery, recovery tends to be faster, with less pain and less scarring," said Michael Khalife, MD, a Winthrop surgeon with vast experience in laparoscopic procedures.

    Surgical treatment of hernias has evolved over the past century. The earliest techniques involved simply stitching the tear together. Surgeons achieve a much better success rate with the more modern method, which commonly involves stitching a mesh patch over the defect.

    Laparoscopic techniques have enabled surgeons to achieve even better results than possible with the standard mesh patch repair, because they can secure the patch over the inside of the abdominal wall.

    "All patients go home the same day, and can resume their normal activities without restrictions within a few days," said Dr. Khalife, who has performed more than 1,000 laparoscopic hernia repairs over the past 10 years.

    Laparoscopic hernia repair is particularly effective for inguinal hernias, which occur in the groin area, as well as for femoral hernias, located at the top of the thigh. It is also beneficial for patients with recurrent hernias, because surgeons have the option of operating through a series of small incisions and avoiding scar tissue present from previous surgery.

    "With laparoscopic hernia surgery, we see a less than one percent recurrence rate," Dr. Khalife noted. "This is superior to traditional hernia surgery."

    Dr. Khalife is one of several Winthrop surgeons who offer this option for hernia repair. For additional information or a referral to a Winthrop surgeon, call (516) 663-2234.


    Legislative Grant Supports Specialized Endoscopy Equipment

    New York State Senators Charles J. Fuschillo (C) and Michael A.L. Balboni (R) visited Winthrop's Endoscopy Unit, where they met with James H. Grendell, MD, Chief of Gastroenterology (L), James Worth, RN, MA, CNA, Administrative Coordinator, Gastrointestinal Endoscopy Unit (second from L), Frank Gress, MD, Director of Endoscopy (third from L), and Daniel P. Walsh, Winthrop's President and Chief Executive Officer (second from R). The Senators learned about the Hospital's new argon gas laser, used to vaporize tumors in the gastrointestinal tract. A portion of a $75,000 legislative grant obtained by the Senators enabled the Hospital to purchase this sophisticated technology, which will be used to treat patients who are referred to Winthrop's Endoscopy Unit from throughout Long Island.



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