TNE - Transnasal Esophagoscopy

LINX - Antireflux System

Hiatal Hernia Repair

Gastric Sleeve

Our Fees are Posted Online

The Surgical Practice of Robert Sewell, M.D., F.A.C.S.

Unique Services We Offer



Go To Our Download Center For 

New Patient Bundle 

Instructions/Diets/Waivers


Call 817-749-0206
for your appointment

Seeing patients in the offices of

Wise County Medical & Surgical Associates

1001 W. Eagle Dr.

Decatur, Texas 76234 

Inguinal (Groin) Hernia

What is an Inguinal Hernia?

Any abnormal opening in the usually strong muscular wall of the abdomen that allows internal organs to bulge out is called a hernia. One of the most common locations is in the groin or inguinal area. This type of hernia may appear at any time during life, and occurs nearly 10 times more often in males than in females. The main reason inguinal hernias occur so frequently is the presence of a natural weakness in the groin area. Despite this natural weakness, adult hernias usually don't occur unless brought on by some type of straining or heavy lifting. Once a hernia occurs, there is no way for it to heal by itself. Generally the opening will gradually become larger with time.

Laparoscopic Hernia Repairs

Incisional (Ventral) Hernia

What is an Incisional Hernia?

The abdomen is a large, muscular sack that contains the internal organs. If an abnormal opening occurs in the usually strong muscular wall, the internal organs can bulge out. This bulge is called a hernia. An incisional hernia is a tear or weakness in the muscular abdominal wall at the site of a previous surgical incision. During open abdominal operations an opening is made in the muscle layers that is closed with stitches. Scar tissue gradually forms creating a bond between the two sides of the incision. This scar tissue connection is never as strong as normal tissue and can tear or give way under a variety of conditions. When the scar tissue gives way, an incisional hernia is the result.

Symptoms of Hernias

Some hernias cause few if any symptoms, so some people live with their hernia for many years. The most common symptoms are:

  • Dull aching sensation
  • Sharp pains in the groin or upper thigh
  • Nausea
  • Constipation
  • Vague fullness in the abdomen


If a loop of intestine pushes its way out through a hernia, it will usually go back inside easily. But, if the intestine becomes trapped in the hernia, it may lead to an intestinal blockage. This situation, known as an incarcerated hernia, needs to be treated immediately to avoid strangulation and gangrene of the intestine.

Minimally Invasive Treatment Option - Laparoscopic Hernia Repair

Laparoscopic hernia repair is an operation in which the surgeon examines and repairs a hernia from inside the abdomen, without the need for a large incision. Artificial mesh material is used to cover the hernia without having to disrupt any of the other supporting tissues in the area. The mesh is secured to the normal tissues with tiny fastening to hold it in place. Within just a few days, the mesh becomes securely healed into the tissues around the hernia, making it a strong, permanent part of the abdominal wall. The incisions are small and generally cause less pain than open surgery. Perhaps the most important advantage of laparoscopic inguinal hernia repair is the ability to carefully examine and even repair both the right and left inguinal areas during the same procedure. Not infrequently, a second hernia is found during laparoscopic surgery that was not recognized during the pre-operative examination. The ideal time to repair such a defect is right then, thus avoiding the need for another operation later. Laparoscopic hernia repairs require a general anesthetic, but can generally be done on an outpatient basis.