The general scientific knowledge of hernias has grown exponentially in the last few years. Advancements in technology have also greatly increased our surgery options. The surgeons at The PATCH Institute are experts in utilizing the latest knowledge, techniques and technology to repair your hernia with the smallest scars, quickest recovery and lowest complication rate. During the consultation, your general surgeon will determine the best surgery option for you.
This is the traditional approach with a larger incision at the hernia bulge. This type of surgery is still preferred when the hernia is either very small or very complex. For example, many inguinal and umbilical hernias are many times best performed open. Open surgery is sometimes better in complex hernia repair when there is mesh to be removed, when intestine needs to be resected or when there is a lot of skin/fat that needs to be removed.
A form of minimally invasive surgery introduced in the 1980’s. Laparoscopic surgery uses small incisions away from the hernia bulge. It frequently leads to less complications than open surgery. Today, it is used for hernia repairs that don’t require advanced robotic surgical systems. It has several limitations: the surgeon uses straight instruments that may limit the precision of surgery, it is difficult to place mesh outside the abdominal cavity, more surgeon fatigue due to poor ergonomics, and it requires sometimes painful fixation tacks and sutures.
A form of minimally invasive surgery through small incisions. It utilizes advanced robotic surgical systems such as the daVinci robot. The robot is not autonomous. It is simply a more advanced surgical tool and is FULLY controlled by the surgeon. The robotic platform offers the surgeon fully wristed instruments and a 3D high-definition camera with 10x magnification. As a result, the repair can be done with more precision, and complex hernias can be fixed with small incisions. Furthermore, the robot doesn’t get tired and the surgeon sits during surgery, so there is less surgeon fatigue. For the patient, this translates into quicker recovery, less pain and less complications. This is the preferred approach for medium to large hernias and many inguinal hernias as it combines the best of open and laparoscopic surgeries. Also, the surgeon is more likely to be able to sandwich the mesh between layers of the abdominal wall to keep the mesh from coming into contact with the intestines.
Sometimes the best option is to combine multiple techniques. We call this a hybrid technique because we may perform part of the operation robotically and another part open. Hybrid surgery is frequently performed for complex or unusual hernias, and ones that require skin or soft tissue removal.
Regardless of the option that is right for you, the surgeon's experience is probably what matters most. Using the latest robotic technology does not guarantee great results. Frequently surgeons will promise a laparoscopic or robotic approach but have a high conversion rate to open surgery. At The PATCH Institute we are experts at minimally invasive hernia repair, and have an extremely low conversion rate.
“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.”
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.
The leading minimally-invasive general and hernia repair surgeon on the West Coast, serving patients in the greater SF Bay Area.
365 Hawthorne Ave. Ste 101
Oakland, CA 94609
3010 Colby St. Ste 118
Berkeley, CA 94705
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