Abdominal Wall Hernia Surgery

A hernia is a protrusion of part of the body, through a hole or muscle weakness to a place where it should not be.  Whilst these can occur in many different parts of the body and involve a variety of organs including the stomach and brain, typically, this term refers to abdominal wall hernias in the groin.  People are most familiar with groin (inguinal canal) hernias which account for 75% of all abdominal wall hernias.

The most common  abdominal wall hernias are:

  • Inguinal (groin) hernias (75%) – These are more common in men than women and usually present as an uncomfortable bulge in the groin on either side.  In men they can enlarge into the scrotum.
  • Femoral hernia – These develop in the upper part of the leg just medial to the femoral pulse.  They are more common in women.
  • Umbilical Hernia – These develop as lumps under or near to the umbilicus.  They can be congenital or develop in people who have weakened or stretched (by obesity) abdominal muscles. 
  • Incisional hernia – These hernias develop at the site of previous surgery or trauma when surgical sutures give way or tear out and the muscles and scar tissue is not strong and intestines (and sometimes other organs) push through the muscle defect.

In the UK about 70,000 inguinal hernia repair operations are performed every year making it the most common operation performed in the world. Surgery can be either “open” (gold-standard) or “laparoscopic”. Both procedures use a tension free mesh and have low complication rate.  Hernia recurrence is about 0.5% following “open” surgery and about 4% following laparoscopic operations. 

Whilst groin and umbilical hernias are very common and easily treated, sometimes they can be left without treatment. However, they can get bigger, cause pain and cause can lead tobowel  obstruction so your surgeon will discuss the various treatment options with you.

Modern surgical techniques mean that pPatients experience a lot less pain, quicker recovery time and a lower failure rate than they did in the past. Most operations are done in under an hour, and patients are able to go home on the same day as the surgery. 

Symptoms include pain and the feeling that something has given way, followed by the development of a lump over the following few days or weeks.  Often, they develop following unfamiliar strenuous activity.  The lump typically gets bigger with coughing. 

If you think that you may have a hernia, you should seek medical advice to confirm the diagnosis.  Sometimes an ultrasound scan is necessary to confirm the diagnosis. 

Our surgical team at the Specialist Medical Clinic offer a complete hernia service.  Once a diagnosis is made, most suitable treatment plan and (if indicated) repair option will be discussed, and agreed with you. 

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Your Specialists

Every patient is unique and deserves a compassionate, individualised care that allows them to gain back control of their lives. "

Denes Kovacs

Consultant General and Colorectal Surgeon

Areas of expertise

Special interest in functional gastrointestinal disorders - irritable bowel syndrome, dyspepsia, SIBO, chronic abdominal pain and their complex management. All areas of General Surgery - laser treatment of varicose veins, special expertise in open / laparoscopic hernia repairs, gallbladder surgery, skin lesions, ingrown toenails. Coloproctology - perianal conditions, haemorrhoids, fissures, fistulas and diseases of colon and rectum. Gastroenterology - Colonoscopy and gastroscopy.


Education and professional training

General Surgeon at Semmelweis University, Budapest. Pursued a Laparoscopic Colorectal Fellowship in the University Hospital North Tees, Durham, UK followed by the prestigious European Board of Surgical Qualification (EBSQ) examination in Coloproctology. He has recently completed his training for a second specialization in Gastroenterology at Semmelweis University, Budapest.


Professional Qualifications, Associations & Accomplishments

Specialist in General Surgery, Semmelweis University, Budapest - 2011 Fellow of the European Board of Surgeons (FEBS)- Coloproctology - 2021 Specialist in Gastroenterology, Semmelweis University, Budapest - 2024 (expected)


Professional experience

Having gained significant experience as a General Surgeon in Hungary, following a Colorectal Fellowship program in UK, held Consultant Surgeon position in NHS, Lincolnshire. Moved to Gibraltar in 2016 and have been since serving the local community in the GHA.


Languages spoken

English, Hungarian, Spanish, German, French, Romanian


Interests

Mountaineering, hiking, cycling, camping - getting lost in Mother Nature and sharing unforgettable adventures with my family.


Don't judge another (wo)man until you have walked a mile in their moccasins "

(American First Nation proverb)

Mr. David Deardon BM MD FRCS FRCS(Ed)

Chief Executive / General Surgeon & Endoscopist

Areas of expertise

UK Trained Consultant General and Transplant Surgeon, now providing day case General Surgery and Surgical Gastroenterology to SMC


Education and professional training

Trained at Southampton Medical School (BM) 1984. Became a Fellow of both the Royal College of Surgeons of England (FRCS) and the Royal College of Surgeons of Edinburgh (FRCS Ed) in 1989. Completed EU Surgical Training in 1990 and UK Surgical Training in 1996. Completed my Doctorate at Manchester University in 1999


Professional Qualifications, Associations & Accomplishments

Over 20 published scientific papers in peer reviewed journals Presented and co-authored a number of scientific presentations at international congresses in Japan, Europe, India, USA and the UK. Accredited as a specialist in General Surgery in 1997 and joined the GMC’s specialist register.


Professional experience

Held consultant posts in Plymouth (Senior Lecturer /Associate Professor), Guys and St Thomas’s Hospitals London, Oxford Radcliffe (Honorary Tutor to Green College and involved in the initial development of the highly successful Oxford Pancreas and Non-heart beating kidney transplant programmes), the Western Infirmary, Glasgow (reintroduced the


Languages spoken

English


Interests

Doing exciting things with my family, travelling (to explore cultures and geography); philately, jigsaws and skiing.


Competency, empathy and compassion for my patients"

Mr. Fady Narouz MBBCh, IFRCS

Consultant Colorectal and General Surgery

Areas of expertise

Colon and rectal cancer, perianal disease (haemorrhoids, fistulas, fissures), colonic and rectal polyps, advanced colonoscopy and gastroscopy, open and laparoscopic hernia surgery, gallbladder surgery, minor skin lumps and bumps, ingrowing toe nails, emergency general surgery.


Education and professional training

MBBCh Cairo University, 2004. Completed training in 2017 in the Republic of Ireland, Dublin University Hospitals. Colorectal Fellowship at St. James's University Hospital, Leeds. Trauma Fellowship at King's College Hospital, London


Professional Qualifications, Associations & Accomplishments

FRCS, Fellowship of the Royal College of Surgeons, Ireland - 2016 Member of the ACGBI (The Association of Coloproctology of Great Britain and Ireland)since 2017. GMC and Gibraltar Medical Board registered.


Professional experience

Irish and UK trained Colorectal and general surgery consultant with 17 years working in the surgical field. I am the Colorectal Cancer lead at the GHA. Experienced in laparoscopic bowel cancer resections, hernias, cholecystectomies and advanced endoscopy with over 3000 procedures.


Languages spoken

English, Arabic


Interests

Squash, SCUBA diving instructor, chess, volleyball. I also have an interest in Diving and Hyperbaric Medicine with a post graduate degree from the University of Aberdeen.


Mr Antequera is Consultant Surgeon at St Bernard's Hospital, located in Gibraltar. He is a leading expert in laparoscopic and endoscopic treatment for Obesity, one of the global health burdens nowadays. He offers alternative weight loss solutions such as gastric balloons, gastric bypass, gastric sleeve, gastric band/lap-band, bariatric surgery and gastric band adjustments."

Alfonso Antequera Perez

Consultant Upper GI and Bariatric Surgeon

Areas of expertise

Upper gastrointestinal surgery, hepatobiliary surgery, obesity surgery, endoscopy


Education and professional training

Studied at Universidad Autonoma de Madrid. Trained as Specialist in General Surgery at Hospital Puerta de Hierro. Universidad Autonoma de Madrid Master Onco-surgical strategies at Universite Paris-Sud


Professional Qualifications, Associations & Accomplishments

PhD in organ transplantation at Universidad Autonoma de Madrid Fellow of the American College of Surgeons Fellow of the Royal College of Surgeons in Ireland Member of the British Society for Obesity Surgery (BOMSS) Member of the British association of upper gastrointestinal surgery (AUGIS)


Professional experience

Mar 2012 to July 2013 Locum Upper Gastrointestinal Consultant Surgeon. Adelaide & Meath Hospital. Tallaght. Dublin Sep 2011 to Mar 2012 Locum Upper Gastrointestinal Consultant Surgeon. Castle Hill Hospital. Hull & East Yorkshire NHS Trust Nov 2003 to Aug 2011 Consultant Surgeon. General and Digestive Surgery in Fuenlabrada Hospital. A public University General Hospital of 400 beds. Taking all the digestive and endocrine surgery, with special dedication to laparoscopic surgery and obesity. Full-Time (35 hours per week. In-House Calls 1 in 5). Honorary professor of Surgery in Health Science Campus of “Rey Juan Carlos University”. Private practice in Clinica La Luz. Madrid.


Languages spoken

English, Spanish, French


Interests

Sailing, skiing, golf, literature