Experienced Hernia Surgeon in Sarasota

David Napoliello, MD has extensive experience with all types of hernias. A strong foundation in open hernia surgery techniques sparked his interest in acquiring minimally invasive and laparoscopic surgery techniques as they were invented in the early 1990's. During this training he actually acquired the skills and expertise at laparoscopic hernia repairs at multiple institutions across the U.S. and brought them back to teach his professors and colleagues. Dr. Napoliello was thereby also a consultant and surgeon teacher for some of the earlier laparoscopic hernia surgery corporations during this time period.

Surgical Options for Hernia Repairs

Hernias are actually holes or tears in the thick layer of the abdominal wall called the "FASCIA." This layer is akin to the multiple layers of radial belted tire. Once you get a "blow out," the lining of the abdomen (peritoneum) protrudes into the space, defining a new "room" for the bowels and fat of the abdomen to push into. This is what creates the typical "lump" or "bulge" of a hernia.

Hernia FAQ

Are there different types of hernias?

Yes. Types include:

Inguinal hernia: Located in the groin and is what most people think of when they think of the word “hernia” or “rupture.” Affects men usually more then women and can be associated with reproductive organs.

Umbilical hernia: “Belly button” hernia or “blow out.” Can affect men, women and children.

Incisional hernia: Any location that has undergone surgery has a potential weakness. The site may tear and create a hernia.

Femoral hernia: Groin hernia found usually in slim women. Protrusion is through the tunnel the blood vessels take. These have a high risk of incarceration.

Hiatal hernia: A natural hole in the diaphragm allows the esophagus to pass to the stomach. This hole can stretch out and the stomach can then protrude into the chest. Symptoms include difficulty swallowing, breathing and gastro-esophageal reflux disease.

Spigelian hernia: Rare hernia in the lower, lateral quadrants of the abdomen. Associated with atypical fascia and muscle layers.

Lumbar hernia: Rare hernia toward the lower lateral back and flanks.

Do hernias heal by themselves?
With few exceptions, including infant’s umbilical hernias, hernias will not resolve without surgery.

What types of surgery exist?
There are two main approaches to hernia repair. “Open repairs” and “laparoscopic repairs.” Laparoscopy is considered to be “Minimally Invasive,” however, some open techniques are minimally invasive. Most hernia repairs use mesh patches, which lowers recurrence rates. Classic “non-mesh” repairs remain an option for patients wishing to avoid mesh. These usually are reserved for inguinal and small umbilical hernias. I perform both Open and Laparoscopic approaches.

Does hernia surgery require a hospital admission?
Most hernia repairs are performed as an outpatient. Larger ventral hernias and hiatal hernias require an admission.

Do hernias “NEED TO BE REPAIRED?”
Hernias will not get better. Some are painful, enlarge and protrude further. Emergencies arise if bowel becomes stuck within a hernia (incarcerated), or bowel death(strangulation). Classically, small, asymptomatic hernias can be followed if a patient wishes to avoid surgery. There is Academic Data to back this. However, the same studies show a number of patients will need emergency surgery with critics arguing it should have been fixed earlier. Cases should be individualized and talked over with the patient’s primary doctor and surgeon.

If you are suffering from a hernia, let Dr. Napoliello help you. Contact us to find out more about your options for laparoscopic hernia surgery in Sarasota, Bradenton, Venice, Lakewood Ranch, Anna Maria, Bradenton Beach, Holmes Beach, Longboat Key, Palmetto, North Port, Englewood, Parrish, Arcadia, and Ellenton, Florida.