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Hernias

DR. GILLIAN HAS BEEN INVOLVED IN THE EVALUATION AND TESTING OF VARIOUS MESH MATERIALS SINCE THE LATE 1990’S.  WE HAVE HELPED EVALUATE BOTH PERMANENT AND BIOLOGIC MESHES IN THAT TIME FRAME.  AREAS OF INTEREST AND EVALUATION HAVE INCLUDE MESH REINFORCEMENT OF THE HIATAL HERNIAS, INGUINAL HERNIAS, INCICISIONAL HERNIAS, PARASTOMAL HERNIA  AND UMBILICAL HERNIAS. IF YOU HAVE ANY QUESTIONS ABOUT MESH PRODUCTS WE CAN BE A HELPFUL RESOURCE. 


 This is one of the articles that  Dr. Gillian was involved in: 

Burst Strength of Ventral Hernia Repairs in a Chronic Porcine Model

SPORTS HERNIA ADVICE

  • Created on Friday, 21 February 2014 20:13
  • Last Updated on Tuesday, 04 November 2014 02:36
  • Written by Dr. Kevin Gillian
  • Hits: 953

Sports Hernia: Some practical advice.


G. Kevin Gillian, M.D., F.A.C.S.

Virginia Hernia and Heartburn Institute


Of all the conditions evaluated in my office the one with the honor of having the most money and time spent on it with the least satisfactory results prior to our evaluation are the patients with “sports hernias”.Not everyone is a “professional” or even a serious athlete although those groups do tend to dominate when it comes to spending a lot of their money on MRIs, physical therapy, acupuncture and visits to their favorite Orthopedic surgeon.I see plenty of casual athletes, clumsy gardeners, former active duty military, and yoga moms with the same complaints as famous athletes.The problem is the name. Hernias are supposed to be holes and “sports hernias” don’t have holes.

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SPORT HERNIA

  • Created on Friday, 02 October 2009 22:56
  • Last Updated on Tuesday, 04 November 2014 02:37
  • Written by Virginia Hernia Institute
  • Hits: 5301

A sports hernia occurs when there is an injury and resulting weakness of the muscles or tendons of the lower abdominal wall. This part of the abdomen is the same region where an inguinal hernia occurs, called the inguinal canal. When an inguinal hernia occurs there is sufficient weakening of the abdominal wall to allow a pouch, the hernia, to be felt. In the case of a sports hernia, the problem is due to a weakening in the same abdominal wall muscles, but there is no palpable hernia. Because the damage is occurring in the same region as the more common inguinal hernia pain patterns can be similar but the physical exam findings are not.

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FEMORAL HERNIA

  • Created on Friday, 02 October 2009 22:42
  • Last Updated on Thursday, 25 September 2014 20:12
  • Written by Virginia Hernia Institute
  • Hits: 3716

Femoral Hernia

Femoral hernias occur when there is a weakness near the femoral artery in the upper thigh. Their presentation is highly variable.  Sometimes a asymptomatic bulge is noted in the upper thigh or it can be very painful.  In some cases we are  unable to feel a bulge at all.  The problem with these hernia is that they occur in a area that is surrounded by rigid bone and ligaments so symptoms can occur quite abruptly. They do seem to present more often in thin women but either sex may be affected.  Small femoral hernias are often seen during laparoscopic repair of other types of inguinal hernias. These hernias are easily repaired with minimally invasive laparoscopic technique.

Femoral Hernia

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