North Houston Obesity Surgery

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General Surgery Services

Inguinal Hernia Repair

An inguinal hernia is a hernia that occurs in the groin. They may occur in children as a congenital defect or in adults as a result of aging, injury, previous surgery, repetitive lifting, chronic cough or constipation, or other reasons. During laparoscopic inguinal hernia repair, the surgeon inserts instruments through three to four small incisions, pushes the protruding tissue back into the abdominal cavity, and patches the hernia with a surgical mesh.

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Ventral Hernia Repair

A ventral hernia is an opening that forms in the abdominal wall, usually at the site of a previous surgical incision where the muscles are weak. The inner lining of the abdomen pushes through the opening, forming a sac, and a portion of the intestine or other abdominal tissue can then slip into the sac. Organs that get stuck in the sac (a condition known as incarceration) can cause severe problems that require emergency surgery. During laparoscopic surgical repair under general anesthesia, the surgeon pushes the protruding tissue back into the abdominal cavity and attaches a mesh to the muscles around the hernia to strengthen the area.

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Cholecystectomy (Gallbladder Removal)

The gallbladder produces a liquid that aids digestion in the intestine. Removal of the gallbladder, called cholecystectomy, may be recommended when the gallbladder is inflamed, blocked, diseased, cancerous or contains gallstones. Untreated gallstones can cause complications such as biliary colic, cholecystitis, cholangitis, gangrene, jaundice, pancreatitis, sepsis, fistula, ileus and cancer.

Open gallbladder removal involves the creation of a five- to eight-inch long incision in the abdomen below the ribs. Laparoscopic technology allows the same procedure to be performed through a series of small incisions, with a camera on the laparoscope providing the surgeon with a real-time view inside the patient’s body. Laparoscopic surgery provides benefits for the patient such as less post-operative pain, shorter recovery (overnight as opposed to five days) and faster return to normal activities since the incisions are small and the abdominal muscles are not cut.

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Appendectomy (Appendix Removal)

Appendectomy is the removal of the appendix, a small organ that helps lubricate the colon. Appendectomy may be recommended when the appendix swells (appendicitis) or ruptures (potentially causing infection, abscess, intestinal blockage or sepsis). Symptoms of appendicitis include abdominal pain and tenderness, elevated temperature, nausea and vomiting.

In a minimally invasive appendectomy, an endocope and a few surgical instruments are inserted through a series of small incisions so the appendix can be removed with less pain and a shorter recovery period than open surgery. The camera on the endoscope allows the surgeon to confirm the presence of appendicitis and perform the surgery without making a large incision. Patients can return home in as little as one day.

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