When faced with the pain and distress of a hernia, you want a surgeon you can trust to give you your life back. The TMC Comprehensive Hernia Center provides you with a team of experts in treating all types of hernias, from the most common to the most complex - even those previously thought not repairable. Our surgeons use a wide variety of surgical techniques to provide individualized care for each patient. This includes open, laparoscopic and Robotic methods.
Our Advanced Approach
We are experts in developing effective, open or minimally invasive procedures to meet your specific needs. This selection process, which is the foundation for our patient-specific approach, is based on our extensive experience as a result of performing a multitude of hernia repairs each year. This expertise in both routine and complex hernia surgeries assures that all of our patients receive the safest and most effective repair available.
● Safe and effective
● Results in the lowest incidence of recurrent hernias
● Minimizes discomfort and scarring after surgery
● Promotes rapid recovery and a return to normal activity in day
A hernia is tissue that bulges out of a weak spot in the abdominal wall. Your intestines may bulge out through this weakened area. In time, most hernias grow, and surgery is the only way to resolve them. During hernia repair, this bulging tissue is pushed back in. Your abdominal wall is strengthened and supported with stitches, and sometimes mesh.
Ventral Hernia/Incisional Hernias
A ventral hernia is a bulge (of tissues) through an opening, or defect, within the abdominal wall muscles. It can occur anywhere on the abdominal wall. Many are called incisional hernias because they often form at the healed site of past surgical incisions where the skin has become weak or thin. Some people are born with a defect that causes the abdominal wall to be abnormally thin. They are at a greater risk for developing a ventral hernia. Other risk factors include: pregnancy, obesity, history of previous hernias, history of abdominal surgeries, injuries to the bowel area and family history of hernias or constantly lifting or pushing heavy objects.
A femoral hernia happens when tissue bulges from the lower belly into the upper thigh, just below the groin crease. Femoral hernias are more common in women than in men. Pain from a femoral hernia is most often felt in the groin area and can be hard to diagnose. The hernia may be too small for your doctor to feel during a physical exam. You may need other tests. Often a femoral hernia is found when part of the intestine is trapped and blood supply to the tissue is cut off. This is called a strangulated hernia and requires emergency surgery.
An umbilical hernia in adults usually occurs when too much pressure is put on a weak section of the stomach muscles, due to factors including: stomach surgery; being overweight, frequent pregnancies, multiple gestation pregnancies (twins, triplets, etc.), fluid in the abdominal cavity, and having a persistent, heavy cough.
Epigastric hernias often have few or no symptoms. But they can cause pain in the upper belly. You may need surgery to repair an epigastric hernia.
A hiatal hernia happens when the upper part of your stomach pushes up through your diaphragm and into your chest area. This condition mostly occurs in people over 50 years old. The exact cause of many hiatal hernias isn’t known. In some people, injury or other damage may weaken muscle tissue. This makes it possible for your stomach to push through your diaphragm.
Meet our Surgeons
Anuj R. Shah, M.D.
Stan Augustin, M.D., F.A.C.S.
Douglas Geehan, M.D.
Douglas Geehan, M.D., received his medical degree from the University of Texas-Southwestern and completed his residency and fellowship in surgical critical care at the University of Maryland. He is board certified in general surgery and surgical critical care. He trained at the R. Adams Cowley Shock Trauma Center in Baltimore. He has served as the trauma medical director at TMC since 1996. Dr. Geehan also serves as a Missouri State Trauma Committee Vice-Chair, for the American College of Surgeons.
Lynn Rawson, M.D., F.A.C.S.
Lynn Rawson, M.D., F.A.C.S received her medical degree from the University of Missouri- Kansas City. She completed her surgical residency at UCSF-Fresno and a fellowship in Therapeutic Endoscopy from the Minimally Invasive Surgery department at The Ohio State University, and is board-certified in general surgery. She specializes in laparoscopic procedures including all types of hernia repairs.
Kelly Gonzalez, FNP-BC
Kelly Gonzalez is an Advanced practice RN with over 22 years of experience in surgical and critical care. Kelly currently specializes in Metabolic Support and Weight Management for hernia patients with pending surgical needs. She received her Masters from Research College of Nursing with a dual degree in education and Family practice. She completed her Bachelors from Webster University. She is known at TMC for her excellent and compassionate care within the hospital and in the hernia clinic.