Houston Methodist Complex Hernia & Abdominal Wall Reconstruction Clinic
The Complex Hernia & Abdominal Wall Reconstruction Clinic at Houston Methodist is dedicated to the comprehensive management of patients with challenging abdominal wall defects. Our specialized clinic offers advanced surgical solutions for patients with complex or recurrent hernias — many of whom are referred due to the complexity of their condition.
Our experts provide a multidisciplinary approach, integrating expertise from general surgery, plastic and reconstructive surgery, cardiology, transplant and other specialties to deliver individualized, evidence-based care. We use minimally invasive and robotic techniques when appropriate for reduced recovery times and improved outcomes.
An abdominal hernia occurs when a bulge or hole develops in the wall of the abdomen. For many, the first sign of an abdominal hernia is a visible knot or ridge in the belly that may be less apparent when you lie down. Common symptoms may include nausea, vomiting, or pain or discomfort when straining, lifting or coughing. Whether you have just noticed a new knot or bulge in your abdomen, have begun having bouts of digestive problems or have lived with disruptive symptoms for years, effective treatment can help reduce your risk of serious complications.
Complex Hernia Conditions We Treat
Not all hernias are the same. Large or recurrent hernias, post-surgical abdominal wall defects and hernias in patients with complex medical histories often require more than routine repair.
The Complex Hernia & Abdominal Wall Reconstruction Clinic delivers advanced solutions for a wide range of complicated hernias that are challenging to manage, including:
- Complex hernias in transplant patients — heart, kidney, pancreas and liver recipients requiring multidisciplinary care
- Complex hernias in trauma patients — occur after injury or multiple surgeries
- Incisional hernias — result from previous abdominal surgeries, often due to the natural weakening of tissue post-incision
- Large ventral hernias — often occur post-surgery or post-trauma, these may involve significant abdominal wall defects and require advanced reconstruction techniques
- Pregnancy-related hernias — often associated with diastasis recti or weakened abdominal walls post-pregnancy
- Recurrent hernias — occur after failed repairs, including mesh complications
Optimizing Recovery Before & After Hernia Surgery
Successful complex hernia and abdominal wall reconstruction begins well before the day of surgery and continues after the procedure is complete. At Houston Methodist, we take a proactive, whole-patient approach that focuses on preparing your body for surgery and supporting a safe, durable recovery. Through structured prehabilitation and rehabilitation programs, our team helps reduce complications, support healing and restore strength and function.
Prehabilitation
Preparing your body for surgery can significantly improve surgical outcomes and recovery. Prehabilitation focuses on optimizing your overall health before surgery and includes:
- Managing blood glucose levels
- Managing vitamin, mineral and micronutrient intake
- Supporting smoking cessation
Rehabilitation
Rehabilitation begins immediately after surgery and is guided by a structured program developed in collaboration with physical therapists. This personalized plan supports safe movement and includes:
- Guiding patients through core strengthening for 2-3 months post-op
- Rebuilding strength and improving recovery
Ranked #7 in the Nation for GI Care
Houston Methodist Hospital is ranked Best in Texas and No. 7 in the nation by U.S. News & World Report for Gastroenterology & GI surgery. U.S. News & World Report has also named Houston Methodist Hospital one of the nation’s best as a nationally ranked Honor Roll hospital.
Why Choose Houston Methodist for Your Complex Hernia & Abdominal Wall Reconstruction
Providing state-of-the-art techniques for challenging conditions
Robotic hernia repair and abdominal wall reconstruction treatments are robot-assisted, minimally invasive techniques that allow enhanced precision in complex abdominal wall reconstruction, smaller incisions, function preservation, reduced complications and faster recovery. Our clinic specializes in:
- Transversus Abdominis Release (TAR) — A robot-assisted laparoscopic hernia repair involving the deep abdominal muscles and a mesh placement between the lining of the abdominal wall and ab muscles. When necessary, this surgery may be performed traditionally —without robot-assisted laparoscopy — depending on the individual’s unique circumstances.
- Robotic Component Separation — A robot-assisted technique allowing the abdominal muscles and connective tissues to be carefully repositioned so even very large hernias can be closed safely.
Putting our patients at the center of everything we do
Complex hernia repair and abdominal wall reconstruction surgery goes beyond simply closing a defect — it restores the integrity and function of the abdominal wall, reduces the risk of recurrence and improves a person’s overall quality of life. We ensure every patient receives the best evidence-based care from experts in:
- Cardiology
- Interventional radiology
- Plastic & reconstructive surgery
- Transplant surgery
Combining advanced health care, research and innovation
Our surgeons have trained with global leaders in hernia surgery. The clinic serves as a key academic and training site, providing residents and trainees with exposure to high-complexity cases that are rarely encountered in standard surgical practice.
Our Complex Hernia & Abdominal Wall Reconstruction Clinic Specialists
The Houston Methodist Complex Hernia & Abdominal Wall Reconstruction Clinic's surgeons provide state-of-the-art surgical options for challenging hernia cases at the Texas Medical Center and community hospitals across the Greater Houston area.
Call 713.790.3333 to get started with your care today.
