Premier Hernia Center

Complex Hernia Repair

Multiple hernia repairs? Dr. Joel “Trey” Bradley and Dr. Kris Williams are Herniologists or Hernia Experts who specialize in lasting, permanent complex hernia repair.

The pair were fellowship-trained at the nationally-known Carolinas Medical Center in Charlotte, North Carolina, and work as a team on many of these challenging cases. Dr. Bradley is based at Premier Surgical Fort Sanders and Dr. Williams sees patients at Premier Surgical Parkwest.

What is a Complex Hernia?

In recent years the complexity of patients and difficulty of hernia repair has dramatically increased. A growing number of patients have large or complex hernia and abdominal wall defects. These defects may be the result of an incisional hernia related to multiple abdominal operations, surgical resection of the abdominal wall, or catastrophic injury or infection.

In cases of multiple previous failed hernia repairs or catastrophic injury to the abdominal wall, or for very large hernia, advanced hernia repair techniques are often required to reconstruct the abdominal wall properly.

The goal of complex hernia repair with abdominal wall reconstruction is to repair the hernia defect, reinforce the abdominal wall to prevent recurrences or other hernias from developing, recover abdominal wall functionality, prevent intraabdominal organs from protruding through the abdominal wall, and provide a cosmetically-pleasing appearance.

During the procedure, the surgeons may need to rearrange the abdominal muscles in order to close the hernia defect. The abdominal wall is then reinforced with mesh.

The end result of this complex abdominal wall reconstruction is a restored, physiologic and functional abdominal wall with enough strength and flexibility to withstand physical activity and to improve quality of life. When performed properly by specially trained surgeons, complex hernia repair generally has a low rate of relapse, resulting in a long-term functional repair with an esthetically-improved result.

Preparing for Complex Hernia Surgery

Because factors like smoking, obesity, uncontrolled diabetes, poor nutrition and previous wound infections can diminish the success of hernia surgery, our surgeons counsel hernia patients before surgery to help lower known risk factors. Smoking cessation, adequate control of diabetes, weight management, and proper nutrition are necessary elements for achieving a successful, lifelong hernia repair.

Nutrition, Education and Wellness ProgramPremier Surgical has partnered with Fort Sanders Health & Fitness to offer N.E.W. University. This Nutrition, Education, and Wellness program is designed to help Complex Hernia patients meet their pre-surgery weight, health and nutrition goals. Our patients are required to have a healthy weight, control their diabetes, and stop smoking before undergoing a complex hernia procedure.

Complex Hernia Surgeons: Dr. Bradley and Dr. Williams

Premier Surgical physicians Dr. Joel “Trey” Bradley and Dr. Kristopher Williams are Herniologists who specialize in abdominal wall reconstruction for complex hernia patients.

Dr. Williams explains the difference between basic and complex hernia:

Talk to your physician about whether you may be a candidate for complex hernia repair. A lasting, successful result can greatly improve your mobility and quality of life.