A hernia repair is a specialized surgical procedure that addresses weaknesses in the abdominal wall where internal tissues push through, creating a bulge beneath the skin.
At our practice, we understand that any surgical procedure can cause anxiety. That's why we're committed to providing gentle, expert care while helping you understand each step of your treatment journey. This tailored procedure effectively resolves different types of hernias, including inguinal (groin), ventral (abdominal wall), umbilical (belly button), and incisional (at previous surgical sites) hernias. At Lifetime Surgical, our approach to hernia repair employs advanced minimally invasive techniques whenever appropriate, combined with strategic mesh selection and placement customized to your specific hernia type and anatomy. We focus on tension-free repairs that reduce recurrence rates while positioning incisions for optimal healing and a return to your active lifestyle with minimal restrictions.
You may need hernia repair if you experience:
Visible bulge in the abdomen, groin, or around the belly button
Bulge that disappears when lying down but reappears when standing or straining
Pain or discomfort at the hernia site, especially when lifting, bending, or coughing
Increasing size of the hernia over time
Sensation of heaviness, pulling, or burning in the affected area
Pain that worsens during physical activity
Difficulty with bowel movements or urination (in some hernia types)
Nausea or vomiting when a hernia becomes incarcerated or strangulated
Redness or tenderness over the bulge, indicating potential complications
Chronic constipation potentially associated with hernia development
Persistent cough potentially contributing to hernia formation
History of previous abdominal surgery with weakened tissue at the incision site
Our approach to hernia repair combines precision with personalized care tailored to your specific hernia type.
For inguinal hernias, we specialize in both open and laparoscopic techniques, often using the Lichtenstein tension-free method or totally extraperitoneal (TEP) approach to minimize post-operative pain.
Ventral and incisional hernias benefit from our expertise in component separation techniques for larger defects.
Umbilical hernias may be repaired with or without mesh depending on size and patient factors.
What sets us apart is our surgeon's expertise in selecting the most appropriate approach based on a comprehensive evaluation of your specific hernia characteristics, lifestyle needs, and medical history. We employ state-of-the-art biologic or synthetic mesh materials when indicated, precisely customized to your anatomy. Our distinctive approach includes advanced pain management protocols combining regional blocks with multimodal medications, resulting in reduced narcotic requirements and faster return to normal activities. For appropriate candidates, we offer same-day discharge with a comprehensive home care program and direct access to our surgical team throughout your recovery.
Immediate Post-Procedure (1-3 days)
Take prescribed pain medication as directed, transitioning to over-the-counter options as soon as comfortable
Apply ice to the surgical area to reduce swelling (20 minutes on, 20 minutes off)
Keep incisions clean and dry for 48 hours, after which gentle showering is permitted
Avoid lifting anything heavier than 10 pounds
Walk several times daily to promote circulation and prevent complications
Expect some bruising and swelling, which typically peaks at 48 hours
Support the surgical area with a pillow when coughing or sneezing
Wear any prescribed abdominal binder or compression garment as directed
Monitor for signs of infection (increased redness, warmth, drainage, fever)
Follow your specific dietary recommendations, typically starting with clear liquids and advancing as tolerated
Short-Term Recovery (1-4 weeks)
Attend your follow-up appointment (typically 7-14 days after surgery)
Continue gentle walking, gradually increasing duration as comfort allows
Avoid lifting more than 15-20 pounds for most hernia types (your surgeon will provide specific guidelines)
Resume driving once you're off narcotic pain medication and can comfortably turn to check blind spots
Return to work based on your surgeon's recommendation and job requirements (typically 1-2 weeks for desk jobs, 4-6 weeks for physical labor)
Continue wearing compression garments if recommended
Manage constipation proactively with adequate hydration, fiber, and stool softeners if needed
Expect some pulling or tightness in the repair area, which gradually improves
Begin incorporating more normal daily activities as comfort allows
Report any concerns about the incision site or increasing pain promptly
Long-Term Expectations
Most patients can return to full activities without restrictions after 6-8 weeks
The minimally visible surgical site typically fades significantly over 6-12 months
Athletic activities and heavy lifting can usually resume after 8 weeks with proper technique
Risk of recurrence is significantly reduced with proper surgical technique and following activity restrictions
Regular follow-up with your surgeon is recommended to ensure ongoing success of the repair
Core-strengthening exercises may be recommended once fully healed (typically after 8 weeks)
Most patients experience complete resolution of hernia-related discomfort
Long-term outcomes are excellent with modern surgical techniques and materials
Some patients report occasional mild weather-related discomfort at the surgical site
Annual wellness exams help ensure continued integrity of the repair
Common Side Effects
Temporary pain or discomfort at the surgical site
Mild bruising or swelling in the repair area
Refined surgical mark that typically fades over time
Temporary numbness around the incision site
Sensation of tightness or pulling with certain movements
Seroma (fluid collection) that typically resolves without intervention
Mild scrotal swelling in males after inguinal hernia repair
Less Common Complications
Surgical site infection (occurring in less than 2% of cases)
Recurrence of the hernia (varies by type, approximately 1-5%)
Chronic pain syndrome (more common in inguinal repairs, affecting 1-5% of patients)
Mesh-related complications such as infection or migration
Injury to nearby structures (blood vessels, nerves, or organs)
Urinary retention, particularly after inguinal hernia repair
Testicular pain or swelling in males after inguinal repair
Adhesions or bowel obstruction (rare, more common after open abdominal repairs)
Allergic reaction to mesh material (extremely rare)
When to Seek Immediate Medical Attention
Fever over 101°F (38.3°C)
Excessive bleeding or large bruise that continues to expand
Severe pain not controlled by prescribed medication
Signs of infection (increasing redness, warmth, pus, or streaking)
Persistent nausea or vomiting
Inability to urinate within 8 hours of surgery
Significant swelling beyond what was expected
Shortness of breath or chest pain
Redness and pain in the calf (potential blood clot)
Reopening of the incision or exposure of mesh
From your first consultation through your complete recovery, we provide:
Thorough evaluation and explanation of your condition
Clear discussion of all treatment options, including non-surgical alternatives when appropriate
Detailed pre-operative instructions to help you prepare
Compassionate care during your hospital stay or outpatient procedure
Comprehensive follow-up care and support during recovery
Ongoing availability to address questions or concerns
We understand that facing head and neck surgery can be intimidating, but you don't have to navigate this journey alone. Our team is committed to providing expert care with a personal touch, ensuring you feel supported, informed, and confident every step of the way.
Your health and wellbeing are our highest priorities, and we're honored to be part of your care team.
.svg)
All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.
We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:
Less pain after surgery
Shorter hospital stays
Faster return to work and activities you enjoy
Smaller, less visible scars
Lower risk of complications
Better overall outcomes
Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.
I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.
.avif){kind=avatar}
At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.
.avif){kind=avatar}
Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!
Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.
Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.