New Studies Show Expert Surgeons Reduce Risks in Large Hiatal Hernia Surgery for Dallas–Fort Worth Patients

If you’ve been diagnosed with a large hiatal hernia, recent medical research brings important insights about your treatment. Two major studies published in 2024 confirm what surgeons have long suspected: hernia size matters, and choosing an experienced specialist significantly impacts your surgical outcome. For patients needing hernia repair in the Dallas-Fort Worth area, Dr. Mazen Iskandar at The Iskandar Complex Hernia Center offers exactly this type of specialized expertise.^[1][2][3]

Understanding Type III and Type IV Hiatal Hernias

Before diving into the research, it helps to understand what these hernias are. Your diaphragm is a large muscle that separates your chest from your abdomen. It has a small opening called the hiatus where your esophagus (the tube that carries food to your stomach) passes through.^[4]

In a hiatal hernia, part of your stomach pushes up through this opening into your chest cavity, where it doesn’t belong. There are four types of hiatal hernias, with Type III and Type IV being the most complex:^[5][6][4]

Type III hernias (also called mixed hernias) happen when both the connection point between your esophagus and stomach AND a portion of your stomach slide up into your chest.^[6][4]

Type IV hernias are the most serious. In these cases, not only does your stomach push into your chest, but other abdominal organs—like your intestines, colon, or spleen—can also move up through the opening.^[7][4][6]

These larger hernias often cause bothersome symptoms including:^{[8][9][10][11]}

• Severe heartburn and acid reflux
• Chest pain or pressure
• Difficulty swallowing food or liquids
• Feeling full after eating only small amounts
• Shortness of breath
• Food coming back up into your throat

When symptoms become significant or the hernia grows large, surgery is usually recommended to prevent serious complications.^[2][12][4]

Study #1: Large Hernia Size Linked to Higher Complication Risk

The Research:

In November 2024, researchers led by Seitaro Nishimura published important findings in Cureus, a peer-reviewed medical journal. The study, titled “Association Between Large Hernia Size and Severe Postoperative Complications After Type III/IV Hiatal Hernia Repair,” examined patients who underwent repair of complex Type III or Type IV hiatal hernias between 2014 and 2024.^[13][1][2]

Key Finding:

The research demonstrated that larger hiatal hernias are associated with an increased risk of severe complications after surgery. This means the bigger your hernia, the more challenging the repair becomes, and the higher the potential for problems during recovery.^[1][2]

Why Size Matters:

Think of it like fixing a small tear versus a large hole in fabric. A small repair is straightforward, but fixing a large defect requires more extensive reconstruction, takes longer, and demands greater surgical skill. The same principle applies to hiatal hernias.^[14][15]

Supporting research confirms these findings. Multiple studies show that larger hernia size correlates with:^[12][15][14]

• Higher rates of early postoperative complications
• Increased likelihood of requiring intensive care unit admission
• Greater chances of hospital readmission within 30 to 90 days after surgery
• Longer recovery times

One study found that hernias larger than 7 centimeters (about 3 inches) or involving more than half the stomach are considered “large” and carry significantly higher surgical risks.^[12]

The Bottom Line:

Large, complex hiatal hernias are challenging surgical cases that require experienced hands. The complications tracked in this research used the Clavien-Dindo classification system, which grades problems based on their severity. While most complications are minor and manageable, the research emphasizes that larger hernias demand specialized surgical expertise to minimize serious issues.^{[16][17][2][14][1]}

Study #2: Advanced Surgical Technique Dramatically Reduces Recurrence

The Research:

Just three months earlier, in August 2024, Dr. Zena Saleh and colleagues from Cooper University Hospital published groundbreaking findings in Surgical Endoscopy, one of the world’s leading surgical journals. Their study, “Optimizing Outcomes in Paraesophageal Hernia Repair: A Novel Critical View,” examined 297 patients who underwent paraesophageal hernia repair between 2015 and 2023.^{[3][18][19][20]}

Key Finding:

Surgeons who performed repairs using an advanced technique called the “critical view” achieved dramatically better outcomes than those using standard repair methods:^[18][19][3]

• Hernia recurrence rate: Only 9.7% with the critical view approach compared to 20% with standard repair (a 51% reduction)^[3][18]
• Reoperation rate: Just 0.5% compared to 10% with standard techniques (a 95% reduction)^[18][3]

What is the “Critical View”?

This advanced surgical technique requires significant skill and experience to execute properly. It involves:^[19][3]

• Complete mobilization of the esophagus up to the level of the inferior pulmonary vein (a major blood vessel in the chest)
• Full dissection and clearing of the posterior mediastinum (the space behind your breastbone)
• Careful visualization of specific anatomical landmarks including the left crus of the diaphragm and left gastric artery
• Precise exposure that allows the surgeon to see the spleen in the background while retracting the distal esophagus

The study showed that 65% of these advanced repairs were performed robotically, 22% laparoscopically, and 14% through open surgery. The types of hernias repaired included Type III (48%), Type I (36%), Type IV (13%), and Type II (2%).^[19][18]

Why This Matters:

This research proves that surgical technique and experience directly impact your long-term results. The critical view approach dramatically reduces the likelihood that your hernia will come back or that you’ll need another surgery down the road. However, this sophisticated technique requires extensive training and expertise to perform safely and effectively.^[3][18][19]

What These Two Studies Tell Us Together

When we look at both studies side-by-side, a clear picture emerges:

Size and complexity increase risk. Recent research confirms that larger Type III and Type IV hernias present greater surgical challenges and higher complication risks.^[2][1]

Expert technique reduces complications and recurrence. The August 2024 study proves that advanced surgical approaches performed by experienced specialists lead to far better outcomes—cutting recurrence rates in half and nearly eliminating the need for repeat surgery.^[18][3]

Experience is essential. Multiple studies consistently demonstrate that surgeons who regularly perform complex hernia repairs achieve superior patient outcomes, fewer complications, and lower recurrence rates. In fact, recent research shows that revisional hiatal surgery (fixing a hernia that comes back) is so complex that it should only be performed at specialized tertiary care centers with high surgical volumes.^[21][22][23]

Why Dr. Mazen Iskandar is A Leading Choice in DFW

Dr. Iskandar embodies exactly what this research tells us to look for: specialized training, extensive experience, mastery of advanced techniques, and a dedicated focus on complex hernia surgery.^[24][25][26]

Unmatched Credentials and Training

Medical Education: Dr. Iskandar earned his medical degree from the prestigious American University of Beirut, one of the leading medical schools in the Middle East. He completed his general surgery residency at Mount Sinai Beth Israel in New York City, one of the nation’s top teaching hospitals.^[25][24]

Advanced Fellowship Training: After residency, Dr. Iskandar pursued specialized fellowship training in minimally invasive and bariatric surgery at NYU-Langone in Brooklyn. This additional training provided him with advanced skills in complex abdominal procedures, including hiatal hernia repair.^[24][25]

Academic Experience: Before joining Baylor Scott & White Health in 2019, Dr. Iskandar served as an assistant professor of surgery at Mount Sinai School of Medicine in New York City. In this role, he taught surgical residents and fellows while conducting research to advance the field. He currently serves as an Associate Professor on the Texas A&M School of Medicine^[25][24]

Board Certifications: Dr. Iskandar is board-certified in both general surgery and metabolic bariatric surgery by the American Board of Surgery. These certifications require rigorous examination and demonstrate his mastery of surgical principles and techniques.^[25]

Professional Recognition and Leadership

Fellow of the American College of Surgeons (FACS): This prestigious designation recognizes surgeons who demonstrate the highest standards of surgical practice, ethics, and professionalism.^[24][25]

Professional Memberships: Dr. Iskandar is a Fellow of the American Society for Metabolic and Bariatric Surgery and a member of the Society of American Gastrointestinal and Endoscopic Surgery. These organizations represent the leading edge of minimally invasive surgical techniques.^[25]

Surgeon of Excellence: In January 2024, Dr. Iskandar earned the “Surgeon of Excellence in Hernia Surgery” accreditation from the Surgical Review Corporation, recognizing his outstanding surgical outcomes and adherence to the highest quality standards.^[27]

Thought Leader: Dr. Iskandar has published numerous peer-reviewed articles, book chapters, and presentations in hernia and bariatric surgery. In 2025, he was selected to author two chapters for Surgical Endoscopy and Other Interventional Techniques, one of the world’s most respected surgical journals. This invitation reflects his recognition as a leading authority in minimally invasive hernia repair.^[28][25]

The Iskandar Complex Hernia Center Difference

Specialized Focus: Under Dr. Iskandar’s leadership, the Baylor Scott & White Center for Hernia Surgery was established specifically to manage hernia cases ranging from simple to highly complex and recurrent hernias. This focused approach means every aspect of your care is optimized for hernia treatment.^[26][25]

Referral Destination: Physicians throughout Texas and beyond refer their most challenging hernia cases to Dr. Iskandar because of his exceptional expertise and outcomes. As referring physicians note, “Dr. Iskandar is a surgeon to call when other doctors run out of options for complex hernia patients”.^[29][26][24]

One of Only Two in Texas: The Iskandar Complex Hernia Center is one of only two Hernia Centers of Excellence in Texas dedicated exclusively to complex hernia repair, providing patients with unparalleled expertise and comprehensive care.^[30][31]

Advanced Surgical Techniques and Technology

Minimally Invasive and Robotic Surgery: Dr. Iskandar’s philosophy emphasizes achieving durable, favorable outcomes through better patient preparation and innovative techniques, including robotic surgery. Research consistently shows that minimally invasive approaches lead to faster recovery, less pain, and lower complication rates compared to traditional open surgery.^{[22][32][33][24][25]}

Customized Treatment Plans: Dr. Iskandar uses the most current research and proven methods to customize each patient’s treatment plan based on their specific anatomy, hernia size, health status, and individual needs.^[32][33][24]

Comprehensive Approach: For large hiatal hernias, surgical repair typically involves multiple steps:^[34][4]

1. Returning the stomach and any other displaced organs back to the abdomen
2. Carefully repairing the enlarged opening in the diaphragm to the proper size
3. When appropriate, using specialized mesh reinforcement to reduce recurrence risk
4. Creating an anti-reflux valve (fundoplication) to prevent acid reflux

Dr. Iskandar’s mastery of these techniques, combined with his use of advanced technology, maximizes the chances of a successful, lasting repair.^[32][24][25]

Real Patient Results

The Iskandar Complex Hernia Center has transformed the lives of countless patients dealing with complex hernias. Jose Gonzalez shares his experience:

“After two years of increasing pain and discomfort following an operation, my quality of life was getting worse and worse as the months went on. Dr. Iskandar told me in the first meeting that he was 90% sure he could repair my growing hernia with no recurrence. A few months after surgery, Dr. Iskandar told me I was back to normal. Now I can ride my motorcycles and go off-roading in my Jeep. I can move around without discomfort and pain. It’s a night-and-day change”.^[26]

What to Expect from Your Hiatal Hernia Surgery

Understanding the basics of hiatal hernia repair can help reduce anxiety about the procedure:

Pre-Surgery Preparation: Dr. Iskandar emphasizes thorough patient preparation, including optimizing your overall health, managing any related conditions, and ensuring you understand what to expect.^[24][25]

Surgical Approach: Most repairs are performed using minimally invasive laparoscopic or robotic techniques through small incisions. These approaches offer faster recovery and less discomfort than traditional open surgery.^[22][34][32]

Hospital Stay: Depending on the complexity of your hernia and your overall health, most patients stay in the hospital for 1-3 days after surgery.^[35][34]

Recovery Timeline: While individual recovery varies, most patients return to light activities within 2-3 weeks and full activities within 4-6 weeks.^[34]

Long-Term Outcomes: When performed by experienced surgeons using advanced techniques, hiatal hernia repair offers excellent long-term results with high rates of symptom relief and low recurrence rates.^{[36][34][3][18]}

Taking Control of Your Health

If you’re living with a large Type III or Type IV hiatal hernia in the Dallas-Fort Worth area, you don’t have to suffer with uncomfortable symptoms or worry about serious complications. The research is clear: size matters, technique matters, and experience matters.^{[14][1][2][3][18]}

Dr. Mazen Iskandar offers all three:

• Recognition of complexity: He understands that larger hernias require specialized surgical expertise^[1][2]
• Mastery of advanced techniques: He performs the sophisticated surgical approaches proven to reduce complications and recurrence^[3][18]
• Extensive experience: He has dedicated his career to complex hernia surgery with outcomes that make him a regional referral center^[26][24][25]

Schedule Your Consultation

The Iskandar Complex Hernia Center is located at the Baylor Scott & White Center for Hernia Surgery in Waxahachie, Texas, serving patients throughout the DFW metroplex and beyond. Dr. Iskandar accepts both direct patient appointments and physician referrals.^[26][25]

Contact Information:

• Location: 2360 N Interstate 35E, Suite 310, Waxahachie, TX 75165
• Phone: 469-800-9832
• Hours: Monday through Friday, 8:00 AM – 5:00 PM^[25]

Dr. Iskandar is multilingual, speaking English, French, and Arabic, making care accessible to diverse patient populations.^[25]

Don’t let a complex hiatal hernia diminish your quality of life. With the right surgeon and specialized care, you can achieve lasting relief from symptoms and get back to the activities you love. Contact The Iskandar Complex Hernia Center today to schedule your consultation with Dr. Mazen Iskandar and take the first step toward feeling like yourself again.

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References

1. Nishimura S, et al. “Association Between Large Hernia Size and Severe Postoperative Complications After Type III/IV Hiatal Hernia Repair.” Cureus 16(11), November 2024. View source
2. Nishimura S, et al. “Association Between Large Hernia Size and Severe Postoperative Complications After Type III/IV Hiatal Hernia Repair.” Cureus, 2024. View source
3. Saleh Z, Verchio V, Ghanem YK, et al. “Optimizing outcomes in paraesophageal hernia repair: a novel critical view.” Surgical Endoscopy, Published online August 12, 2024. View source
4. National Center for Biotechnology Information (NCBI) – StatPearls: “Hiatal Hernia”. View source
5. Medscape Reference: “Hiatal Hernia Overview”. View source
6. Medscape Reference: “Hiatal Hernia Imaging”. View source
7. PMC Article: Type IV Hiatal Hernia. View source
8. PMC Article: Hiatal Hernia Symptoms and Complications. View source
9. Annals of Esophagus: Hiatal Hernia Management. View source
10. Mayo Clinic: “Hiatal Hernia – Symptoms and Causes”. View source
11. Cleveland Clinic: “Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery”. View source
12. Healthline: “What Size Hiatal Hernia Needs Surgery”. View source
13. Cureus: Nishimura S, et al. Research Profile. View source
14. PubMed: Research on hernia size and surgical complications. View source
15. PubMed: Outcomes in large hiatal hernia repair. View source
16. Cureus: “Feasibility of Anti-Reflux Gastric Bypass for Massive Paraesophageal Hernia in Obese Patients with Gastroesophageal Reflux Disease”. View source
17. PubMed: Surgical complications classification systems. View source
18. PMC: Full text of “Optimizing outcomes in paraesophageal hernia repair: a novel critical view”. View source
19. German National Library: Study documentation on paraesophageal hernia repair. View source
20. ResearchWithNJ: “Optimizing outcomes in paraesophageal hernia repair: a novel critical view” – Study fingerprints and citations. View source
21. Annals of Esophagus: Revisional hiatal hernia surgery. View source
22. Annals of Esophagus: Minimally invasive hiatal hernia repair outcomes. View source
23. Video-Assisted Thoracic Surgery: Complex hiatal hernia management. View source
24. The Iskandar Complex Hernia Center: Dr. Mazen Iskandar Profile. View source
25. Baylor Scott & White Health: Dr. Mazen Iskandar, MD, FACS – Biography and Credentials. View source
26. The Iskandar Complex Hernia Center: Official Website. View source
27. EIN News: “Dr. Mazen Iskandar Earns Surgeon of Excellence in Hernia Surgery Accreditation from SRC”. View source
28. Press Advantage: “Dr. Mazen Iskandar Selected to Contribute to Prestigious Surgical Journal”. View source
29. The Iskandar Complex Hernia Center: For Surgeons and Physicians. View source
30. Tallahassee.com: “The Iskandar Complex Hernia Center – One of Only Two Hernia Centers of Excellence in Dallas-Fort Worth”. View source
31. Daily News Journal: “The Iskandar Complex Hernia Center – One of Only Two Hernia Centers of Excellence in Dallas-Fort Worth”. View source
32. GlobeNewswire: “The Iskandar Complex Hernia Center Unveils a Revolutionary Approach to Complex Hernia Surgery Repair and Treatment”. View source
33. Financial Content: “The Iskandar Complex Hernia Center Highlights the Advancements in Fundoplication Surgery for GERD and Hiatal Hernia Repair”. View source
34. PMC: Hiatal hernia repair surgical techniques and outcomes. View source
35. PMC: Hospital stay and recovery after hiatal hernia surgery. View source
36. PMC: Long-term outcomes of hiatal hernia repair. View source
37. Brigham and Women’s Hospital: “Hiatal Hernia”. View source

source https://iskandarcenter.com/hernia-surgery/studies-show-expert-surgeons-reduce-risks-in-large-hiatal-hernia-surgery-dallas-fort-worth-patients/

Early Hernia Treatment: How it Can Prevent Hernia Complications

Hernias are a common medical issue, but delaying treatment can lead to unnecessary complications. Dr. Mazen Iskandar and The Iskandar Complex Hernia Center emphasize the importance of addressing hernias early to reduce risks such as pain, enlargement, and emergency situations. With advanced surgical expertise and compassionate care, the center provides patients with solutions designed for long-term health and recovery. To learn more about your options, schedule a consultation with The Iskandar Complex Hernia Center today.

When should I see a doctor about my hernia?

You should see a doctor about your hernia as soon as you notice signs and symptoms such as a bulge in the abdomen or groin, discomfort, or pain that worsens with activity. Dr. Iskandar explains that a hernia occurs when muscle fibers in the abdominal wall tear, creating an opening where part of the gastrointestinal tract or other tissue can protrude. While a hernia may seem small at first, it might not heal on its own and carries a risk of enlargement or complications over time. During a physical examination, a hernia can often be confirmed when the bulge becomes more noticeable while standing, straining, or with a cough. Seeking prompt care ensures patients receive an accurate diagnosis and the opportunity to consider early hernia repair before emergencies develop.

Why is seeing a hernia doctor sooner rather than later a better option?

Seeing a hernia doctor early is a better option because it reduces the risk of complication and allows for safer, less complex treatment. Small hernias are often treated with a minimally invasive procedure such as laparoscopy, where a camera and specialized tools are used to repair the abdominal wall with surgical mesh and surgical suture. These approaches generally require less anesthesia, result in less pain, and support a faster recovery compared to delayed hernia surgery. By acting early, the patient avoids progressive tissue damage, circulatory system issues caused by trapped blood flow, and the psychological stress of living with the constant concern that the hernia could worsen. Dr. Iskandar emphasizes that elective surgery performed on healthier tissue delivers better results and minimizes disruption to everyday life.

Should I go to the ER about my hernia?

You should go to the ER about your hernia if it suddenly becomes very painful, firm, cannot be pushed back inside, or is associated with nausea or vomiting. These changes can indicate an incarcerated or strangulated hernia, where blood supply to the trapped organ or tissue is cut off, creating a life-threatening complication. In such cases, the patient may experience severe edema, tenderness, or discoloration around the skin of the hernia site, and men can sometimes notice swelling of the scrotum or testicle when an inguinal hernia becomes obstructed. A femoral hernia, which often occurs in the thigh near the sex organ, carries similar risks and must be taken seriously. Emergency hernia repair in the hospital often requires urgent surgery to prevent permanent damage, highlighting the importance of early treatment to avoid this scenario.

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What complications can develop if hernias are left untreated?

If hernias are left untreated, patients risk incarceration, strangulation, and bowel obstruction, all of which can cause significant pain and endanger the gastrointestinal tract. Incarcerated hernias occur when organ tissue becomes trapped in the abdominal wall defect, while strangulated hernias cut off blood flow to that tissue, requiring immediate surgical intervention. Bowel obstruction can follow, leading to nausea, vomiting, and inability to pass stool or gas, which places the human body under dangerous pressure. Untreated hernias may also enlarge over time, creating space where surrounding muscle and tissue adhere abnormally, making later surgery more complex and recovery more difficult. Research continues to confirm that early elective repair dramatically reduces these risks and safeguards long-term health outcomes.

How does early hernia repair improve recovery?

Early hernia repair improves recovery by limiting the size of the defect, allowing for more straightforward surgical techniques and shorter healing time. Dr. Iskandar often recommends laparoscopic hernia surgery for eligible patients, which involves inserting a camera through a small incision and reinforcing the wall with surgical mesh. This minimally invasive procedure typically results in less bleeding, reduced pain, and quicker return to normal function compared to open surgery for large or complicated hernias. Early repair also reduces the risk of complications with the circulatory system and ensures healthier tissue integration with the mesh, improving long-term durability. Patients benefit from shorter hospital stays, lower risk of wound disease or skin breakdown, and better overall results.

What role does diagnosis and monitoring play in hernia treatment?

Diagnosis and monitoring play a critical role in determining whether a hernia requires immediate repair or ongoing observation. A health care provider may use physical examination, imaging such as CT scan, or ultrasound to confirm the diagnosis and assess the size and risk associated with the hernia. For some small hernias that are not causing symptoms, temporary management with a truss or support garment may be considered, but these measures are not curative. Regular follow-up ensures that any change in the hernia’s size, associated pain, or new complication is addressed promptly before the need for urgent surgery arises.

How does delaying hernia surgery increase risk?

Delaying hernia surgery increases risk by allowing the defect in the abdominal wall to enlarge and place more pressure on the surrounding muscle, tissue, and organs. Larger hernias are more difficult to repair, often requiring longer surgery under anesthesia, greater use of surgical mesh, and more extensive tissue dissection. Inguinal hernia surgery and femoral hernia surgery both become more technically demanding when the hernia has grown or caused secondary complications in the scrotum, thigh, or testicle. Patients who delay may also develop complications such as adhesions, circulatory system strain, or increased susceptibility to skin breakdown around the hernia. These issues contribute to longer recovery times, higher complication rates, and greater disruption of everyday activities compared to patients who choose early intervention.

What are the benefits of choosing early treatment with Dr. Iskandar?

The benefits of choosing early treatment with Dr. Iskandar include faster recovery, reduced risk of emergency surgery, and improved quality of life. Patients undergoing elective hernia repair are less likely to experience complication, more likely to return quickly to daily routines, and benefit from modern techniques such as laparoscopy guided by a camera for precision. Early intervention also reduces the risk of circulatory system compromise, tissue necrosis, or damage to adjacent organs and ensures a lower likelihood of requiring extensive therapy or hospitalization. For men with inguinal hernias, treating the condition early prevents potential complications in the groin, scrotum, or testicle that may affect long-term health. As a highly experienced hernia surgeon, Dr. Iskandar offers patients confidence in achieving the best possible result while protecting their long-term health.

Schedule a consultation with Dr. Iskandar at The Iskandar Complex Hernia Center today to take the first step toward safe, effective hernia repair and lasting relief.

source https://iskandarcenter.com/hernia-surgery/early-hernia-treatment-how-it-can-prevent-hernia-complications/

Robotic Repair of Right Bochdalek Hernia [VIDEO]

The following video of a Right Bochdalek Hernia Repair by Dr. Mazen Iskandar contains scenes of medical surgery.

This is Mazen Iskandar, presenting a case of a robotic repair of a right Bochdalek hernia. The patient is a 63-year-old female with history of an open Roux-en-Y gastric bypass in 2009, and with significant weight loss, who presented initially with a fat containing Bochdalek hernia that was surveilled and over time, it started having bowel as you can see here in the scan. So, given the enlargement and now that it’s containing intestines, despite minimal symptoms, the decision was made to proceed with surgery. The patient was placed in a supine position with a bump on her right side and lysis of adhesions was initially done laparoscopically to remove some of the adhesions related to her previous open gastric bypass. And forearms was used with the tip up and arm number four to be used for dynamic retraction.

Here, we are retracting the liver and lysing some of the adhesions between the liver and the hernia sac. And the hernia sac was reducing pretty nicely. Very similar to reducing a direct hernia or a paraesophageal hernia. Then I was able to start reducing the small intestine. My access port was used as an assistant Yankauer for suctioning. So, as you can see there was a lot of small bowel that was herniated. The colon which you can also see on the left of the screen was incarcerated, but by reducing the small bowel first, it gave more room for reduction of the right colon. After reducing all of the small bowel, we were able to then reduce the colon much more easily than if we had tried to reduce that in the beginning.

And here is the defect in the posterior diaphragm. We then proceeded to completely mobilize and reduce the sac, dissecting the sac away from the pleura. The goal was to completely reduce and mobilize the sac.

The edge of the sac is now visible. And complete mobilization and reduction of the sac was now achieved. We then proceeded to mobilize the sac away from the posterior diaphragm and mobilized the liver. We identified the vena cava, the porta hepatis, and we ensured that we were away from them. And so now, we are mobilizing the posterior diaphragm and the superior pole of the kidney to be better able to close the defect and reinforce it with mesh. Once we mobilized enough retroperitoneum, we proceeded to close the defect, which measured 6 centimeters with 2-0 permanent V-Loc.

And the defect closed without much tension.

We then measured the space for mesh placement and I opted to use a 9-centimeter Symbotex mesh. The mesh was placed into the pocket between the kidney and the diaphragm, and was fixated to the diaphragm and to the peritoneum using 2-0 silk sutures.

Then the excess mesh was trimmed to ensure that there is no mesh in contact with viscera. So, the mesh was tailored. And once the liver was dropped, the mesh was completely excluded. Thank you for watching.

source https://iskandarcenter.com/hernia-surgery/robotic-repair-of-right-bochdalek-hernia-video/

Shingles vs Hernia: When Viral Nerve Damage Mimics Abdominal Wall Defects

It’s not uncommon for patients to experience symptoms that seem like a hernia—only to later learn that shingles is the true cause. At The Iskandar Complex Hernia Center, we occasionally evaluate individuals with abdominal pain, swelling, or bulging that turns out to be the result of nerve damage from the shingles virus rather than a true hernia. While these two conditions can feel similar, their causes and treatments are very different. In this article, we’ll explain how to tell the difference and when to seek expert care. If you’re dealing with unexplained abdominal wall symptoms, schedule a consultation with The Iskandar Complex Hernia Center for an accurate diagnosis and treatment plan.

How can shingles cause a bulge that looks like a hernia?

Shingles can cause a visible bulge in the abdomen by damaging motor nerves and weakening the abdominal wall muscles—a condition called postherpetic pseudohernia. This rare complication occurs when the herpes zoster virus (the same virus responsible for chickenpox) reactivates in the spinal cord and affects motor fibers traveling through the vertebral column. When motor branches are involved, particularly those serving the skeletal muscle of the abdominal wall, it leads to flaccid paralysis or even localized paralysis. As a result, the weakened wall may bulge outward, mimicking a hernia even though no fascial defect is present. While it may resemble a hernia from the outside, this condition does not involve a tear or structural opening and typically resolves over time without surgery.

What’s going on with the nerves when this happens?

When shingles (caused by the herpes zoster virus) flares up, it can do more than just cause a rash and pain. In rare cases, the virus affects not just the sensory nerves that cause burning or tingling but also the motor nerves that help your muscles move. This can result in something called segmental paresis—a fancy way of saying the nerves in a certain part of your abdomen stop working properly. That part of your muscle becomes too weak to hold firm, and the result is a bulge. This usually shows up on one side of the abdomen or flank and matches the area served by the affected nerve, also known as a dermatome.

What signs suggest the bulge might be caused by shingles and not a hernia?

There are a few key clues. If you’ve had shingles recently—or even just the nerve pain and rash associated with it—pay close attention to any new bulges. Shingles-related bulges usually show up in the same area as the rash and may be paired with changes in skin sensation, like numbness or burning. The bulge itself tends to be soft and painless and doesn’t have the “cough impulse” or firmness that abdominal hernia cases often do. You also might notice a loss of abdominal reflexes on that side. These are signs that the nerve, not the muscle or tissue itself, is the root of the problem.

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How do doctors determine whether it’s shingles-related or a true hernia?

A physical examination and your medical history are the first steps. Dr. Iskandar will ask about recent shingles outbreaks, pain patterns, and any changes in skin feeling. Imaging tests like a CT scan or ultrasound are especially helpful—they show whether there’s an actual tear or defect in the abdominal wall. If no defect is found, it’s more likely a pseudohernia. In some cases, a test called electromyography (EMG) can be used to check if the muscle is getting signals from the nerve. All of this helps build a clear picture so you get the right treatment.

What does treatment look like for a shingles-induced pseudohernia?

Because the problem comes from nerve damage—not a physical hole in the abdominal wall—surgery is usually not needed. Instead, treatment focuses on helping the nerve heal. This often includes antiviral medication which can help reduce the effects of the virus. Pain relief is another big part of care, especially since shingles can cause nerve pain long after the rash is gone. Some patients may benefit from physical therapy to help rebuild strength in the abdominal muscles. Most people see improvement within a few months, but full healing can take up to 18 months.

When should someone see a surgeon or be more concerned?

While most pseudohernias caused by shingles improve with time, there are red flags that mean you should see a surgeon. These include severe or worsening pain, changes in the skin over the bulge (like redness or dark patches), or symptoms of a bowel blockage—like nausea, vomiting, bloating, or not being able to pass gas or stool. Also, if the bulge becomes hard and doesn’t go back in, or if it continues for more than a year without getting better, it’s time for a closer look. These could be signs of a true hernia, an infection, or another abdominal disease that requires further evaluation.

What’s the long-term outlook for patients with this condition?

The good news is that most patients recover fully. Once the nerve heals, the muscle usually regains its strength and the bulge goes away. While rare, some patients may experience lingering symptoms like constipation, urinary issues, or even a longer-term change in how the muscles feel. However, these outcomes are uncommon. The prognosis is typically very good, especially when the condition is recognized early and managed properly. What’s most important is getting an accurate diagnosis so you can begin healing without delay or confusion.

Wondering What’s Really Causing Your Bulge? Let’s Find Out Together.

It’s easy to assume any abdominal bulge is a hernia, but as this condition shows, that’s not always the case. With expertise in complex abdominal wall issues and a commitment to getting to the root of the problem, Dr. Iskandar provides the answers patients need. Whether it’s nerve-related, structural, or something else entirely, we’re here to guide you through the diagnosis and healing process. If you’ve noticed a new bulge—especially after shingles, chickenpox, or unexplained nerve pain—schedule a consultation with The Iskandar Complex Hernia Center and get the clarity you deserve.

source https://iskandarcenter.com/hernia-surgery/shingles-vs-hernia-when-viral-nerve-damage-mimics-abdominal-wall-defects/

How to Prepare Hernia Surgery: Pre-Habilitation Tips

Preparing for hernia surgery involves more than just showing up on the day of the procedure. Taking steps in advance—known as pre-habilitation—can help improve recovery, reduce complications, and support better surgical outcomes. At The Iskandar Complex Hernia Center, we guide patients through this important process with personalized care and expert recommendations. Our goal is to help you enter surgery in the best possible health. Schedule a consultation with Dr. Iskandar at The Iskandar Complex Hernia Center to start preparing with confidence.

What are the key steps I should take to optimize my health before hernia surgery?

To optimize your health before hernia surgery and reduce the risk of complications, focus on boosting physical fitness, improving nutrition, and managing chronic conditions. Dr. Iskandar and the team at The Iskandar Complex Hernia Center recommend low-impact exercise such as walking or stretching to improve heart and lung function. Eating high-protein food and staying hydrated help strengthen tissue and support healing. Smoking cessation is critical, as tobacco use impairs blood flow and increases the risk of infection. Managing diabetes, obesity, or high blood pressure prior to your hernia repair can improve how your body responds to surgery and anesthesia. Your surgeon may also advise adjusting medications like anticoagulants or over-the-counter drugs such as aspirin, ibuprofen, or Vitamin E to lower bleeding risk. These prehabilitation strategies help prepare your entire human body for a successful result and smoother recovery. These interventions are especially critical when dealing with larger and recurrent hernias.

How can I safely increase my physical activity without risking my hernia worsening?

You can safely increase your physical activity by choosing exercises that avoid placing pressure on the abdominal wall. At The Iskandar Complex Hernia Center, patients are encouraged to walk daily or try low-impact activities like swimming or gentle stretching. These options strengthen the human body without worsening an inguinal hernia or other hernia type. Avoid heavy lifting or movements that strain the groin, cough forcefully, or create high intra-abdominal pressure. If any exercise leads to pain, stop immediately and consult Dr. Iskandar. Using proper technique and building up gradually are key. Physical therapy may be recommended in some cases for additional guidance. Safe movement before surgery supports cardiovascular health and improves how your body tolerates anesthesia in the operating theater.

Why is maintaining a healthy weight important for a successful hernia recovery?

Maintaining a healthy weight lowers the risk of surgical complications and supports faster healing after hernia repair. Excess weight increases pressure on the abdominal wall and can lead to recurrence of the hernia. Excess weight can also increase the rate of wound complications and blood clots. At The Iskandar Complex Hernia Center, we help patients address obesity and reduce body mass index as part of a broader risk management strategy. Achieving a healthy weight reduces inflammation, improves blood flow, and strengthens tissue surrounding the hernia. It also helps regulate blood sugar in patients with diabetes and decreases the likelihood of respiratory issues affecting the lung or gastrointestinal tract after surgery. A healthier body improves how you respond to anesthesia and reduces recovery time in the hospital.

What role does pre-habilitation play in reducing post-surgery complications for me?

Pre-habilitation reduces your risk of post-surgery complications by improving physical fitness, nutrition, and mental readiness before your hernia procedure. Dr. Iskandar uses evidence-based research to design customized pre-habilitation plans that address modifiable risk factors like smoking, poor diet, and unmanaged chronic conditions. Exercise helps reduce lung complications and blood clots (thrombus), while nutrition supports healing and immune function. Managing diabetes and stopping smoking improves tissue strength and reduces the chance of infection. Pre-habilitation also includes learning breathing exercises and preparing your home environment to support safe recovery. Patients who follow this approach tend to experience less pain, shorter hospital stays, and better long-term outcomes.

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What medications and supplements should I stop before hernia surgery?

Before hernia surgery, you should stop certain medications and supplements that may interfere with blood clotting or healing. Dr. Iskandar will review all your prescriptions and over-the-counter drugs. Medications like aspirin, ibuprofen, and anticoagulants can increase bleeding risk and are typically stopped one week before your surgical incision. Certain diabetes medications need to be held before surgery. Herbal products such as St. John’s Wort or Vitamin E may also interfere with clotting. Only continue prescription drugs that have been cleared by your surgeon, often with a small sip of water the morning of surgery. Proper drug and supplement management is a key part of risk reduction and safety planning before any minimally invasive procedure or laparoscopy.

What hygiene steps should I take before surgery to reduce infection risk?

To reduce infection risk, patients should shower or bathe with soap and water the night before or morning of their hernia repair. Chlorhexidine soap is one of the best soaps to use. Dr. Iskandar recommends avoiding lotions, perfumes, or shaving the surgical site, as these actions can introduce bacteria or irritate the skin. Clean skin lowers the risk of introducing infection into the surgical incision. This simple step, combined with proper use of antibiotics and antiseptic protocols in the operating theater, supports your body’s healing process and protects you from unnecessary complications. Your pre-surgery instructions will outline exactly how to prepare.

What should I know about fasting and bowel preparation before surgery?

Before hernia surgery, you will need to stop eating and drinking after midnight unless otherwise instructed by your surgical team. Fasting reduces the risk of aspiration during anesthesia and is essential for your safety. If you have constipation or issues with the gastrointestinal tract, Dr. Iskandar may recommend a fiber supplement or mild laxative in the days before your operation. Never take any medication or laxative without approval. Proper bowel preparation reduces the risk of complications during and after hernia repair, especially for surgeries involving the groin or lower abdomen.

How should I plan for recovery after hernia surgery?

Planning ahead for recovery is critical to ensure a smooth healing process. Arrange for transportation home, as you will not be able to drive after receiving anesthesia. The Iskandar Complex Hernia Center advises patients to prepare meals in advance, stock up on groceries, and arrange for help with tasks like housekeeping or childcare. If you live alone, consider asking a friend or family member to stay with you for the first few days after surgery. Set up your home so you can avoid lifting, bending, or straining your abdomen. Effective planning helps reduce complications, lowers stress, and supports a healthier recovery process.

What steps can I take to manage stress and prepare mentally for surgery?

Managing stress and preparing emotionally for surgery can improve recovery and reduce pain levels afterward. Patients at The Iskandar Complex Hernia Center are encouraged to ask questions, understand what to expect, and take an active role in their care. Studies show that addressing anxiety, practicing relaxation techniques, and staying informed can reduce the need for analgesics and support better outcomes. Therapy, journaling, and deep breathing exercises can also help manage emotional stress and prepare your nervous system for surgery. Feeling prepared mentally is just as important as physical readiness.

Ready for Surgery, Ready for Recovery

Taking steps to prepare for hernia surgery can make a real difference in how you heal and how you feel afterward. From improving your fitness and nutrition to adjusting medications and managing stress, prehabilitation gives your body the best chance at a smooth recovery. Dr. Iskandar and the team at The Iskandar Complex Hernia Center are here to guide you every step of the way with expert care and compassionate support. Schedule a consultation today and take the first step toward a safer surgery and stronger recovery.

source https://iskandarcenter.com/hernia-surgery/how-to-prepare-hernia-surgery-pre-habilitation-tips/

Should I Use a Hernia Belt or Abdominal Binder?

At The Iskandar Complex Hernia Center, we often hear from patients wondering whether a hernia belt or abdominal binder can help manage their symptoms or even treat their hernia. These support devices are easy to find and often recommended for hernia discomfort, but knowing when and how to use them isn’t always clear. While they may provide short-term relief or aid in recovery after surgery, they are not a substitute for expert surgical care. Using them without medical guidance can sometimes do more harm than good. In this article, we’ll explain the role these devices can play in hernia care. To get expert guidance and a long-term solution for your hernia, schedule a consultation with The Iskandar Complex Hernia Center.

What is the role of hernia belts in hernia management?

At The Iskandar Complex Hernia Center, we sometimes recommend hernia belts—also called trusses—as a temporary way to relieve discomfort caused by a hernia. These belts provide gentle, targeted pressure to the affected area, helping to support the abdominal wall and reduce the visible bulge and pain that may come with certain types of hernias, including inguinal, femoral, umbilical, or groin hernias. Hernia belts are most often used when a hernia is reducible and the patient is waiting for scheduled surgery or not yet ready for an operation. They are never meant as a permanent solution, and proper fit and medical guidance are essential to avoid complications. At our practice, Dr. Iskandar carefully considers whether a hernia belt will benefit a patient’s specific situation, offering this option only when it truly supports your path to healing. We understand that living with a hernia can be stressful, and we’re here to walk with you—every step of the way—until a long-term solution is in place.

When should a hernia belt be avoided?

Hernia belts should never be used over a hernia that cannot be pushed back in or if there are signs and symptoms of serious complications. If you experience sharp pain, redness around the hernia, nausea, vomiting, or fever, these may be symptoms of a strangulated hernia—an emergency that requires immediate medical attention. Using a belt in these situations can worsen the problem and lead to further damage. At The Iskandar Complex Hernia Center, we prioritize safety and careful evaluation before recommending any supportive device. Dr. Iskandar will determine whether your hernia is reducible and whether a belt is appropriate for your condition. We take this responsibility seriously because your well-being is always our highest concern.

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Can a hernia belt cure or stop a hernia from getting worse?

A hernia belt cannot cure a hernia or prevent it from progressing. While it may reduce symptoms temporarily, the underlying problem—a defect in the abdominal wall—remains. Surgery is the only definitive treatment for hernias, and relying on a belt long-term can increase the risk of complications like incarceration or strangulation. At The Iskandar Complex Hernia Center, Dr. Iskandar may suggest using a belt as a short-term measure if surgery is not immediately possible, but we will always discuss the risks and limitations openly. We want our patients to feel informed, supported, and confident in the care plan we create together.

What is the purpose of an abdominal binder after hernia surgery?

Abdominal binders are typically used after hernia surgery to provide gentle support to the healing abdominal wall. These wide, stretchy bands wrap around the abdomen and can help reduce early postoperative pain and support mobility during the first few days of recovery. Some patients find that binders give them added confidence when getting up, walking, or moving after surgery. At The Iskandar Complex Hernia Center, Dr. Iskandar may recommend a binder for the first 48 to 72 hours after your procedure if it aligns with your recovery needs. We know the early days after surgery can be challenging, and our goal is to ease your discomfort while supporting your healing process with care and attention.

Do abdominal binders help prevent hernias from coming back?

While abdominal binders may help with short-term comfort, they do not prevent hernia recurrence. Research shows that binders may ease pain and improve mobility in the first few days after surgery, but they don’t reduce the likelihood of a hernia returning or protect against wound complications. At The Iskandar Complex Hernia Center, Dr. Iskandar bases each postoperative recommendation on the latest clinical evidence as well as each patient’s unique situation. We may suggest a binder if it helps you feel more comfortable during recovery, but never as a substitute for surgical precision and follow-up. Our approach is always centered on what will support your long-term health, not just temporary relief.

Are abdominal binders safe to use?

Abdominal binders are generally safe when used for a short time after surgery and under the guidance of your surgeon. They’re designed to be worn over closed surgical incisions and provide support without putting harmful pressure on healing tissues. At The Iskandar Complex Hernia Center, we give patients clear instructions on how and when to use a binder if one is recommended. While complications are rare, overuse or poor fit can cause discomfort or skin irritation. Dr. Iskandar’s team is always available to answer questions and adjust your care plan to ensure your recovery is smooth, safe, and as comfortable as possible.

What are the differences between hernia belts and abdominal binders?

Although both are support devices, hernia belts and abdominal binders serve very different roles. Hernia belts are used before surgery to provide temporary relief from a reducible hernia, while abdominal binders are used after surgery to support the healing process. Hernia belts must be carefully applied to avoid complications and are only appropriate in select cases. Abdominal binders, by contrast, are broader and gentler and are typically used for a short time postoperatively. At The Iskandar Complex Hernia Center, Dr. Iskandar helps patients understand the appropriate role of each device and whether it fits their individual care plan. We believe that clear information and thoughtful recommendations are essential to helping you feel secure in your care and confident in your next steps.

Are abdominal binders and hernia belts helpful for different types of hernias?

Yes, the usefulness of a support device often depends on the type and location of the hernia. Hernia belts are sometimes used for inguinal hernias or umbilical hernias, particularly when the hernia is reducible and surgery is planned. These belts are designed to apply targeted pressure near the navel or groin area to help keep tissue from protruding. Abdominal binders, on the other hand, are more commonly recommended after hernia repair—especially in cases involving incisional hernias or repairs in the midsection. These broader supports act as a compression garment over healing surgical sites. However, they are not designed to “hold in” the hernia, nor do they prevent bulging due to weakness in connective tissue or the gastrointestinal tract. Dr. Iskandar customizes recommendations for each patient, ensuring the right device is used at the right time, whether you’re managing symptoms or recovering from surgery. If you’re unsure whether that “bulge near your belly button” is something to worry about, we’re here to help you get clarity and next steps.

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Does it help to wear an abdominal binder after surgery when it hurts to cough?

Yes, wearing an abdominal binder after surgery can help reduce discomfort when you need to cough. After hernia repair, especially in the first few days, even a simple cough can put pressure on the surgical site and cause pain. A well-fitted binder offers gentle support to the abdominal muscles, helping to stabilize the area and lessen the strain during involuntary movements like a cough or sneeze. At The Iskandar Complex Hernia Center, Dr. Iskandar may recommend a binder for short-term use after surgery to improve comfort, particularly during activities that momentarily increase abdominal pressure. While it won’t eliminate all discomfort, many patients find it helps them move, breathe, and recover with more confidence in those early days.

Do I need a hernia belt or an abdominal binder?

Whether you need a hernia belt or an abdominal binder depends entirely on your specific condition, symptoms, and treatment timeline. At The Iskandar Complex Hernia Center, we never take a one-size-fits-all approach. Dr. Iskandar carefully evaluates whether short-term support could be helpful, but always within the context of your overall health and surgical plan. If you’re waiting for surgery and dealing with a reducible hernia, a belt might offer temporary relief. If you’ve just had surgery, a binder could help reduce discomfort and support healing. Either way, we’re here to guide you with compassion and clinical expertise so you never feel like you’re navigating this process alone.

Move Toward Relief with Expert, Compassionate Care

Hernia belts and abdominal binders can be useful tools in specific situations, but they are never a replacement for expert surgical care. At The Iskandar Complex Hernia Center, Dr. Iskandar takes a personalized approach to every treatment plan, helping patients understand when these devices may be helpful—and when they may pose a risk. If you’re living with a hernia or recovering from surgery, you deserve clear answers and compassionate support. We’re here to help you feel better, move forward with confidence, and get the long-term results you need. Schedule a consultation today to take the next step toward relief with a team that puts your safety and comfort first.

source https://iskandarcenter.com/hernia-surgery/should-i-use-a-hernia-belt-or-abdominal-binder/

Bathing and Showering After Hernia Surgery: A Complete Guide

After hernia surgery, many patients have questions about when and how they can safely bathe or shower. Proper hygiene is important, but so is protecting the surgical site during the early stages of recovery. At The Iskandar Complex Hernia Center, we provide clear post-operative instructions to help you heal safely and confidently. In this guide, we’ll walk through the key considerations for bathing and showering after your procedure. If you have additional questions or need expert care, schedule a consultation with The Iskandar Complex Hernia Center.

When can I bathe or shower after hernia surgery?

Most patients can begin showering 24 to 48 hours after hernia surgery, as long as Dr. Iskandar or your surgical team gives the go-ahead. For those who have undergone open or minimally invasive hernia repair at The Iskandar Complex Hernia Center, showering is generally safe after 24 to 48hours depending on the method of wound closure. Before stepping into the shower, you’ll be instructed to remove any outer dressings if applicable, but steri-strips can stay in place. Afterward, gently pat the incision dry without rubbing. Full baths, hot tubs, and swimming should be avoided for at least one to two weeks, or until you’ve been specifically cleared by Dr. Iskandar, as soaking the incision too soon can raise the risk of infection. If hygiene is needed sooner, sponge bathing is an option as long as the incision stays dry. If waterproof skin glue is used then a shower is possible without any additional steps.

Are there any specific showering techniques to follow after hernia surgery?

Yes, there are specific showering techniques to follow after hernia surgery, and your surgeon will provide personalized guidance based on your recovery. During the shower, let water and mild soap gently run over the incision without scrubbing. Steri-strips and surgical glue can get wet and will naturally begin to peel off after several days—never pull them off. If you have a waterproof dressing, it can remain in place during the shower but should be replaced if it becomes wet. After showering, carefully pat the incision dry with a clean towel and allow any steri-strips or glue to air dry. Avoid applying ointments, lotions, or soaking the area in baths, hot tubs, or pools until Dr. Iskandar confirms it is safe. Always monitor the incision for signs of infection and contact The Iskandar Complex Hernia Center if you notice anything concerning.

How long should I wait before taking a bath after hernia surgery?

You should wait at least two weeks before taking a bath after hernia surgery unless Dr. Iskandar provides different instructions based on your specific recovery. Soaking in a tub, hot tub, or pool too soon can increase the risk of infection and interfere with the healing process. During the initial two weeks, showering is usually permitted starting 24 to 48 hours after surgery, but it’s important to avoid submerging the incision in water and to gently pat the area dry afterward. Every recovery is unique, so be sure to follow the personalized guidelines you receive from The Iskandar Complex Hernia Center.

7 Tips for Bathing or Showering After Hernia Surgery

1. Wait at least 1 to 2 weeks before soaking in a bathtub, hot tub, pool, or any body of water, unless Dr. Iskandar gives you different instructions.
2. Do not apply ointments, creams, or lotions to the incision site unless Dr. Iskandar has specifically directed you to do so.
3. Avoid shaving over or near the incision area until the skin is fully healed to prevent irritation or injury.
4. Monitor the incision closely for signs of infection, including redness, swelling, drainage, or warmth, and contact The Iskandar Complex Hernia Center if you notice any of these symptoms.
5. If surgical glue was used, it is waterproof and allows for showering as instructed, but do not pick at or remove the glue.
6. Always pat the incision dry with a clean towel after showering; never rub the area.
7. If you are unable to shower during early recovery, sponge bathing is acceptable as long as you avoid soaking the incision.

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What should I do if my wound gets wet during a shower?

If your wound gets wet during a shower, gently pat it dry with a clean towel—never rub the area. If there was a dressing in place that became wet, it should be removed and replaced with a clean, dry one as soon as possible. If your incision is healing without stitches and Dr. Iskandar has approved showering, it’s generally safe for water to run over the area briefly, but soaking should still be avoided. After drying the area, inspect the incision for any signs of infection such as redness, swelling, drainage, or warmth. If you notice any of these symptoms, contact The Iskandar Complex Hernia Center. Always follow Dr. Iskandar’s specific wound care instructions, especially if you’ve been advised to keep the area dry for a longer period.

Take the Next Step Toward a Confident Recovery

Knowing how to care for your incision after hernia surgery is key to healing safely and avoiding complications. If you have any concerns about your recovery or need personalized guidance, Dr. Iskandar and his team are here to help. Schedule a consultation with The Iskandar Complex Hernia Center today to get expert support every step of the way.

FAQ’s About Bathing and Showering After Hernia Surgery

Can I use soap and shampoo normally after hernia surgery?

Yes, you can use mild soap and shampoo when showering after hernia surgery, but it’s important not to let products directly contact the incision site. Dr. Iskandar advises patients to allow water and soap to gently run over the area without scrubbing. Rinse thoroughly and pat the area dry afterward. If you experience irritation or inflammation, contact The Iskandar Complex Hernia Center for guidance.

What should I do if I accidentally scrubbed the incision?

If you accidentally scrub the incision, gently rinse the area with clean water and pat it dry with a clean towel. Apply a fresh piece of sterile gauze if advised by your care team. Watch for signs of redness, drainage, or tenderness, and contact Dr. Iskandar’s office to determine if further care is needed.

Can I shower with surgical sutures in place?

Yes, most patients can shower with surgical sutures still in place, but you should not scrub or apply pressure to the incision site. At The Iskandar Complex Hernia Center, Dr. Iskandar will give you detailed instructions on how to care for your incision depending on the type of closure used, including whether you have sutures, staples, or surgical glue.

Is it normal to feel pain while showering after surgery?

Some discomfort while moving or touching the incision area during a shower is normal after hernia surgery. If the pain feels sharp or worsens over time, it may indicate a complication. Dr. Iskandar recommends managing post-operative pain with prescribed medication and contacting the clinic if pain becomes difficult to control.

What if I develop a fever after showering?

A fever after surgery may indicate infection and is not directly related to showering unless the wound was not properly protected. Dr. Iskandar advises patients to monitor their temperature closely and contact The Iskandar Complex Hernia Center if they develop a fever, chills, or notice increased drainage from the incision.

Can I use an ice pack after a shower to reduce swelling?

Yes, using ice packs after showering can help reduce swelling and discomfort around the surgical site. Wrap the ice pack in a cloth and apply it for short intervals. Dr. Iskandar may recommend this especially in the first few days following surgery to help manage edema and localized inflammation.

How soon can I shower after inguinal hernia surgery?

Showering is typically safe 24 to 36 hours after inguinal hernia surgery, but always wait for approval from Dr. Iskandar. The timing may vary slightly based on whether your repair was open or laparoscopic. Clear instructions will be provided before you leave The Iskandar Complex Hernia Center.

What if I notice fluid leaking from the incision after a shower?

Some minor fluid drainage can be normal, especially in the first few days, but it should not have a foul odor or color. If you notice an increase in drainage or other signs of infection after showering, contact Dr. Iskandar. Proper incision care, including gently drying the area, helps prevent complications.

Should I avoid walking right after showering?

It’s safe to walk after showering, and light walking is encouraged to support healing and reduce the risk of blood clots. However, take care to move slowly and avoid slipping. The team at The Iskandar Complex Hernia Center will guide you on when and how to resume normal activities safely.

What signs after showering should prompt me to call my doctor?

If you notice symptoms like spreading redness, warmth, worsening pain, unusual drainage, or a fever after showering, it could be a sign of infection. Dr. Iskandar recommends contacting The Iskandar Complex Hernia Center if anything seems off with your incision. If these symptoms come on suddenly or severely, it may require emergency attention to prevent further complications.

source https://iskandarcenter.com/hernia-surgery/bathing-and-showering-after-hernia-surgery-a-complete-guide/