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Common Types of Hernias

Inguinal

Another name for groin hernias.  It's the 2nd most common type of hernia.  It is 10x more common in men.  These hernias can be divided into direct or indirect.

Umbilical

The most common type of hernia.  Everyone has a small opening in the belly button left by the umbilical cord.  This opening can enlarge, resulting in a hernia.  The hernia must be repaired when it is enlarging or causing symptoms like pain or intestinal blockage.

Incisional

This type of hernia develops where a surgeon has previously cut through the abdominal wall.  These hernias come in all sizes and complexity.  Many can be difficult to repair, and require a robotic hernia specialist to achieve a durable repair.  The PATCH Institute is one of the only centers in the Bay Area with extensive experience in robotic repairs.

Hiatal

This type of hernia occurs when the stomach slips through the diaphragm hiatus into the chest.  Frequently patients have heartburn, chest pain or trouble swallowing.  There are 4 types of hiatal hernias.  Repairs are usually done through the abdomen and involve pulling the stomach into the abdomen, tightening the diaphragm hiatus and performing a fundoplication (wrap).

Additional Hernia Types

Paraesophageal

This is a type of hiatal hernia but is frequently used by general surgeons to refer to very large hiatal hernia where more than 1/3 of the stomach is in the chest.

Epigastric

A hernia that occurs in the linea alba in the upper midline of the abdomen.  These usually are small and feel like small lumps under the skin.

Diaphragmatic

The diaphragm is a muscle and can develop hernias. Hiatal & paraesophageal hernias are the most common.  Less common types include Morgagni or Bochdalek.

Spigelian

Occurs in either lower quadrant of the abdomen, above the groin, where the posterior connective tissue layer thins.

Parastomal

A hernia that forms around a stoma (colostomy, ileostomy or urostomy).  More than 50% of patients with stomas will eventually develop a parastomal hernia.  These should be fixed when the hernia affects the function of the stoma, or causes pain or blockage. 

Ventral

This is a term that applies to all hernias in the front of the abdomen.  Usually they refer to larger umbilical hernias.

Dr. Rockson Liu is One of the Best General and Hernia Surgeons in the United States

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“Dr. Rockson Liu performed colon surgery on me. I had full confidence in his skills and was very pleased with his performance. He explained thoroughly about using the robot in surgery as I was hesitant about its use. His bedisde manner is extraordinary and the way he cares for his patients is outstanding. He came to visit me on his day off in the hospital after surgery, as I was recovering. I was very pleased that I got such a skilled surgeon who is also a wonderful person.”

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Meet Dr. Rockson Liu, MD, FACS

The leading minimally-invasive, robotics-assisted general surgeon in the country

With 1000+ minimally-invasive, robotics-assisted surgeries completed, and a 100% success rate in ending recurrent hernias other surgeons were unable to solve, Dr. Liu has made a name for himself as the premier minimally-invasive general surgeon in the United States. 

Dr. Liu approaches every surgery with technical mastery and creative problem-solving. Those two skills allow for a faster recovery, minimal pain, and reduced scarring. 

About Dr. Liu

The leading minimally-invasive general and hernia repair surgeon on the West Coast, serving patients in the greater SF Bay Area. 

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Oakland, CA 94609

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