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Abdominal Wall Hernias

Abdominal Wall Hernias

Luciano Fiszer, MD, is a Fellow of the American College of Surgeons and a Miami-based board-certified general surgeon specializing in hernia surgery.

Patients seeking exceptional surgical care have found a trusted partner in Dr. Luciano Fiszer. With over a decade of experience, Dr. Fiszer brings particular expertise in bariatric and digestive health procedures. He takes time to understand each patient’s unique needs before proposing treatment options. Minimally invasive approaches are his preferred methods, like laparoscopic and robotic techniques, which aim to limit pain and recovery time.  Dr. Fiszer admits new technologies don’t replace building rapport at the bedside. His patient-first philosophy starts by listening carefully to patients’ concerns and goals. Combining surgical skills with genuine empathy, Dr. Fiszer makes access to life-changing treatment a reality at his Miami practice. His hands-on guidance continues long after the procedure as well; he stands by his patients for the long haul.

Types of Abdominal Wall Hernias
There are several main types of abdominal wall hernias. The most common is an inguinal hernia, which occurs in the inguinal canal in the lower abdomen, where the intestines can protrude through a weak spot in the abdominal wall. Another common type is an umbilical hernia, or umbilicus, which occurs around the belly button. These are caused when the abdominal wall does not close properly after birth.

Less common hernias include femoral hernias, which occur in the upper thigh/groin area; ventral/incisional hernias, which occur through surgical wound sites in the abdomen; and epigastric hernias, which occur between the belly button and ribcage area through the linea alba. Each involves the protrusion of tissue through a defect or weak spot in the muscle or surrounding tissue.

Causes and Risk Factors
Abdominal wall hernias have a variety of causes. Some people are simply born with weaker abdominal muscles or defects that make them prone to developing hernias. Pregnancy can lead to stretching and weakening of tissues. Factors like obesity, aging, strenuous activity, smoking, malnutrition, and genetic factors can also increase risk.

Immediate causes of hernia development include sudden heavy lifting, straining from constipation, persistent coughing, problems with wound healing after surgery, and accumulated damage to tissues from straining or pressure over time. Trauma and injury to the abdomen may also cause or contribute to abdominal hernias due to the weakening of tissues. Identifying and mitigating risk factors can be an essential part of prevention.

Symptoms and Diagnosis
The most common symptom of an abdominal hernia is a visible or palpable bulge under the skin, especially when straining or standing. The area may be painful, especially when touched, and pain typically increases through the day and improves with rest. In some cases, there are no significant symptoms. Various imaging tests can help diagnose hernias, including X-rays, CT scans, and ultrasounds. Physical examination often allows a physician to detect and diagnose abdominal wall hernias.

Potential complications include obstruction and strangulation of the intestine if it becomes trapped in the hernia, infection, and rupture of the hernia, allowing tissue to enter the open space. Bowel obstruction is a medical emergency requiring immediate treatment. Monitoring for signs of complications is an important reason to seek medical care to have a hernia evaluated promptly after discovery.

Treatment Options
The treatment for abdominal hernias centers around repairing the defect or weak spot to prevent protrusion. This is achieved either through open surgery with sutures or mesh reinforcement of the area or laparoscopic surgery for minimal access repair. Recovery times for laparoscopic hernia repair are often faster, though the technique has some contraindications. For some small hernias in low-risk patients, a truss device may temporarily support and protect the hernia. Regardless of specific repair technique, patients are often placed on activity restriction during recovery for 4-6 weeks to allow tissue healing without strain or re-injury. During recovery and beyond, patients should avoid heavy lifting, straining, extensive exercise, constipation, smoking, and other factors that could complicate healing or contribute to recurrence over time. Supporting tissue strength and integrity over the long term is the goal.

Recurrence and Prevention
Even with successful hernia repair surgery, abdominal wall hernias sometimes recur over time. Recurrence rates depend heavily on hernia location and repair technique utilized. Factors that contribute to recurrence include inadequate surgical technique, postoperative complications, personal factors like smoking or obesity, and simple mechanical strain over time reopening defects. Monitoring for signs of recurrence is important during recovery and beyond. Prevention of first-time hernias can be challenging but focuses heavily on maintaining a healthy weight, not smoking, avoiding constipation and heavy straining, allowing proper post-surgical healing time without undue strain, and promptly treating factors like chronic cough when feasible. Some hernias cannot be easily prevented due to inherent tissue weaknesses or defects; however, minimizing the aggravation of these areas can help reduce risk. Genetic screening may someday have a role in early identification of those prone to hernias.

Suppose you have been diagnosed with an abdominal wall hernia or suspect you may have one based on concerning symptoms. In that case, seeking specialized care to reduce the risks of complications is essential. Hernias will not improve without treatment and often progressively worsen over time if the underlying defect or weakness is not repaired. For state-of-the-art hernia repair utilizing both open and laparoscopic surgical techniques, patients in the Miami area should consider an initial consultation with Dr. Luciano Fiszer of Elite Surgical Miami. As a highly experienced hernia surgeon, Dr. Fiszer offers excellent procedural outcomes and cutting-edge methods to get patients back to living comfortably as quickly as possible.

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    Over 20 Years of Experience Helping Thousands of Happy Patients

    Where people come first

    Elite Surgical Miami strives to be most sought out General Surgery practice in Miami using a combination of the latest technology while focusing on the patients best interests physically and emotionally.

    Our patients come first. Our staff and surgeon are here for you and will provide you with the absolute best in surgical care and more. Elite Surgical Miami | General, Reflux, & Bariatrics is here for you.
    Comfortable Care

    At Elite Surgical Miami our mission is to first and foremast make sure our patients are educated and treated with the utmost respect.

    You want the best surgeon. Dr. Luciano Fiszer-Adler, is proficient in minimally invasive laparoscopic and robotic-assisted surgery and uses advanced surgical technologies. Offering the best in professionalism in the heart of is Elite Surgical Miami.
    Latest Technology

    Dr. Fiszer performs these procedures using the most advanced surgical technologies.

    Dr. Luciano Fiszer, MD, Board-Certified General Surgeon is provided expertise in minimally invasive laparoscopic and robotic-assisted surgery in the South Florida area.
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    General Surgeon Miami General Reflux, & Bariatrics Surgeon Miami
    Happy Patients

    At Elite Surgical Miami we make sure that the patient gets the best care professionally and emotionally, a combination we pride ourselves on.

    "I had the gastric sleeve with Dr. Fiszer a few weeks ago and it was the best experience I could have hoped for. He was caring and attentive to all my questions, offered information when there were things I didn't ask that I would need to know and the procedure itself was so so much better to recover from than I could have hoped for. I would (and will) highly recommend him to anyone and everyone that is looking for a surgeon. He also did an endoscopy on me a few months earlier and I had an equally good experience for that procedure. A+++ in my book!"

    - Alejandra Martin, Patient

    "Dr Fiszer and his staff are wonderful. He is a very knowledgeable, kind, caring, and concerned physician. He answered all of my questions and even answered questions I did not know I had. I was very hesitant about having any type of bariatric surgery. Dr. Fiszer helped me choose which procedure was best for me and when I decide on the gastric sleeve I felt well informed and comfortable with my decision. I would highly recommend him to anyone without reservation."

    - Kristin Volz, Patient

    "Dr. Fiszer is an amazing doctor. His bedside manner is impeccable and his desire to make you feel safe is one of the main reason I will always seek him out for any future surgery. His medical expertise is next to none. Dr. Fiszer performed emergency surgery on my husband for an abscess last weekend and his treatment, compassion, love for his work and respect for his patients is the highest I’ve ever seen. I loved his treatment, courtesy and overall desire to help. God bless you Doc! You ROCK!!!"

    - Yoli Ferreiro, Patient

    Trusted Surgeon

    Dr. Fiszer performs these procedures using the most advanced surgical technologies.

    Dr. Luciano Fiszer, MD, is a board-certified general surgeon who specializes in bariatric /weight-loss surgery and surgical procedures of the digestive tract. Dr. Fiszer has been in medical practice for over 10 years, providing expertise in minimally invasive laparoscopic and robotic-assisted surgery.

    abou us 2 3 General Reflux, & Bariatrics Surgeon Miami
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