Hernia repair Dr Hussam2018-06-18T12:32:45+00:00

Expert, minimally invasive repair of hernias

Dr Hussam Al Trabulsi is an expert in laparoscopic (keyhole) surgery to repair complicated hernias such as hiatus and ventral hernias, as well as more simple inguinal hernias. Using small incisions and the help of a camera, the advantage of his laparoscopic approach is less pain and scarring after your hernia repair, a more rapid recovery, and less risk of infection than with an open surgery through a large incision. If you are not a candidate for laparoscopic surgery, for example due to obesity or thick scar tissue from previous abdominal surgery, Dr Hussam will draw on his skill in open surgery to perform the operation.

Dr Hussam is a member of the British Royal College of Surgeons (MRCS) and a Fellow of the European Board of Surgery, and practices at Novomed Centers in Dubai.

He speaks Arabic and English fluently.

Dr Hussam Trabulsi

Why choose Dr Hussam and Novomed for your surgery?

Dr Hussam is an expert surgeon, skilled in general surgery as well as highly complicated operations such as bariatric procedures and hiatal hernia repair. He takes a patient-centered approach, making sure his patients are fully informed about all of their options.

He performs his surgeries at Novomed Surgical Hospital, which has many advantages over larger, general hospitals. Firstly, the focus on surgery allows for better and faster service, fewer complications, lower cost, and higher customer satisfaction. Secondly, surgical hospitals enjoy five-times-lower infection rates than general hospitals because contagious-disease cases are not admitted. In addition to safety, we offer comfort and high-quality care. The 15-bed hospital in Umm Suqeim is known for its luxurious accommodation, excellent patient experience and world-class surgeons.

Dr Hussam is an expert in all hernia-repair surgeries including…

Simple repairs

When an organ or tissue squeezes through a weak spot in muscle or connective tissue, it is known as a hernia and cannot be repaired without surgery. When hernias are small, Dr Hussam can insert a laparoscope, or lighted tube, through small incisions to access your hernia and repair the affected area. He treats all types of hernias including:

  • An indirect inguinal hernia occurs in the groin area and is a result of the natural weakness in the internal inguinal ring.
  • direct inguinal hernia occurs in the groin area and is a result of weakness in the floor of the inguinal canal.
  • Femoral hernias appear just below the groin crease when a weakness in the lower groin allows an intestinal sac to drop into the femoral canal.
  • Umbilical hernias occur near the bellybutton, which has a natural weakness from the blood vessels of the umbilical cord.
  • Epigastric hernias occur due to a weakness, gap, or opening in the muscles or tendons of the upper abdominal wall.

Hiatus/hiatial

A hiatial hernia occurs when the muscles where the esophagus meets the stomach do not close tightly enough and the stomach bulges through this opening into your chest. This can exacerbate the symptoms of gastroesophageal reflux disease (GERD), which is why the repair is often called anti-reflux surgery.

Dr Hussam will most probably use a procedure called fundoplication to repair the hernia laparasocopically, making about 3 to 5 small incisions. The procedure is complicated and best left to a highly experienced surgeon such as Dr Hussam to ensure it is performed properly the first time. The first step is to repair the hernia by tightening the opening in your diaphragm with stitches.  Next, the upper part of your stomach will be sewn around the end of your esophagus.  This creates pressure that helps prevent stomach acid and food from flowing up from the stomach into the esophagus.

In some cases it may be possible to fix the problem with no incisions, using only an endoscope and clips. Dr Hussam will recommend the least invasive, most effective option possible for your specific case.

Ventral hernias

Anal fissure diagram

Ventral hernias are often called ‘incisional hernias’ as they usually occur at the site of previous abdominal surgical incisions. They can also develop in the belly button or any area of the abdominal wall where muscles have weakened, resulting in a bulge or tear. The inner lining of the abdomen then pushes through the  abdominal wall to form a balloon-like sac. Sometimes a loop of the intestines or other abdominal contents can then push into the sac and, critically, might become trapped and cause problems. Ventral hernias  can range from small to large and complex. They will need to be operated on as soon as possible as they cannot heal on their own, and could widen to an extent that it is difficult to repair.

Using a laparoscope, TV camera and special instruments inserted through about three or four small incisions, Dr Hussan will remove any scar tissue and insert a surgical screen (mesh) into the abdomen under the hernia defect to strengthen the abdominal wall. It is held in place with special surgical tacks or sutures.

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