Hernia Surgery Program

The Hernia Surgery Program at Cleveland Clinic Abu Dhabi is comprised of expert surgeons who put Patients First. These experts specialize in open surgical and advanced laparoscopic procedures for the treatment of abdominal wall and hernia conditions for adults over the age of 14. Their expertise ranges from common inguinal and umbilical hernia operations to complex abdominal wall reconstruction s when necessary.

Abdominal wall reconstruction surgery is required when the lining of the abdominal wall has become weak due to recurring (repeating) hernias.

Advanced surgical procedures include techniques with muscle flaps for patients who have had disfiguring abdominal wall defects, often from previous surgeries that had complications due to weakness in the patient’s abdomen.

What We Treat

Hernia

Hernias are one of the most common reasons for surgery that occur worldwide. A hernia occurs when an organ that is usually held into place by muscles and tissue protrudes through an opening in the tissue that holds it into place. Hernias vary in complexity and the types of hernias include inguinal and umbilical hernias, as well as large and potentially disfiguring ventral and incisional hernias. All hernias require urgent medical attention. We provide surgical treatment for congenital (present at birth) or acquired hernias, such as:

• Inguinal & femoral hernias: Hernias of the groin or thigh.
• Umbilical hernias: Hernias of the navel area.
• Spigelian hernias: Hernias of the lower abdomen.
• Epigastric hernias: Hernias of the upper abdomen.
• Obturator hernias: Hernias of the pelvic floor.
• Hiatal hernias: Hernias that form when the stomach pushes up through the diaphragm.
• Diaphragmatic hernias: Hernias involving the diaphragm and organs in the chest that form as the result of a birth defect.

Conditions of the Abdominal Wall

Ventral or incisional hernias are hernias that occur in the abdominal wall (layers of muscles in the abdomen) due to complications from previous surgeries or hernia repair operations. In some cases, patients who have had previous surgery or postoperative complications develop infections or other problems that may lead to the failure of the abdominal wall to heal properly. These circumstances include:

• Large or recurrent hernias of the abdominal wall
• Incarcerated or strangulated hernias
• Hernias at stoma sites, such as a hernia at a colostomy
• Hernias with overlying tissue loss or infection
• Open abdominal wall defects
• Catastrophic abdominal events

Each patient who visits the Digestive Disease Institute for hernia or abdominal wall issues is assessed and treated by a multidisciplinary team including nutritionists, an obesity medicine consultant, physical therapists, wound care experts and a highly specialized group of plastic and abdominal surgeons dedicated to improving the quality of life and outcomes of patients with abdominal wall hernias.

Diagnosis for Hernia Surgery

At the Digestive Disease Institute at Cleveland Clinic Abu Dhabi, our teams of specialists are highly trained in the diagnosis and treatment of hernias as well as complications from previous surgeries.

After being referred, a patient will typically have an initial consultation with a surgeon. As needed, patients may undergo CT examination and further discussion of diagnosis, options, expectations, and recovery.

Treatment with Hernia Surgery

Cleveland Clinic Abu Dhabi’s comprehensive Hernia Surgery Program offers the following interventions for hernia repair:

• Laparoscopic surgical hernia repair: A minimally-invasive surgery that uses a few tiny incisions (one to two centimeters long) and special instruments attached to the end of a thin flexible tube.
• Open surgical hernia repair: A traditional open surgical technique that uses one long incision (three to six inches long) to access the hernia. Though more invasive, this approach may be the best option for some patients.
• Robotic hernia repairs: A minimally-invasive approach that uses robotic technologies to control instruments. This technology allows for greater dexterity and precision.
• Complex abdominal wall reconstruction: This surgery often requires repairing damage and defects acquired from previously failed surgeries. This type of surgery can be performed using open, laparoscopic, or robotic techniques.