Putting off hernia treatment?


Did you know that some five million Americans have a hernia - but only about 750,000 Americans seek treatment each year?

According to the National Center for Health Statistics, many people do not seek treatment for a hernia because they believe that the surgery needed to repair it will be complicated and invasive requiring a long hospital stay and painful recovery. In most cases, this is not accurate. Almost all patients go home the same day and require minimal pain medication (and often Tylenol or NSAIDs can provide relief). Typically patients return to daily function in 1-2 days and are back to work within several days. If the patient's employment requires heavy lifting, 1-3 weeks may be necessary depending on the patient's age, weight, size of hernia and type of job. 

Dr. Nakhjo offers two basic types of hernia repair that are available today - Mesh-Free Shouldice Repair and traditional Laparoscopic Hernia Repair with Mesh. Depending on your type of hernia, it will be performed either laparoscopically or with traditional open surgery with or without mesh. The pros and cons of each will be fully explained to the patient at the time of consultation.

No Mesh - The Shouldice Repair

This is a unique approach to the repair of hernias that avoids the use of mesh. It is an elegant operation involving the sewing of 4 distinct anatomical layers together using suture material. It is a technique developed by Dr. Shouldice as part of an evolution from historic repairs known as Bassini Repairs. 

The advantages of a Shouldice repair include a decreased risk for long-term chronic pain and wound infection. Recurrence rates are equal to or lower than that of mesh repair. 

The Shouldice Clinic outside of Toronto, Canada has demonstrated extraordinary safety and durability with their technique. The technique was designed by Dr.Edward Earle Shouldice and became popular when he opened his hernia hospital in 1945. His technique has attracted patients from all over the world. To this day, the surgeons at the Shouldice Hernia Clinic provide extraordinary care for their patients and continue to have excellent results. I do everything possible to uphold their standards in performing the Shouldice inguinal hernia repair.

What is a hernia?
It’s a protrusion of an organ or tissue through an abnormal opening or tear in the body. It is commonly seen as a lump in your abdomen or groin. Unfortunately, there is no other permanent treatment for a hernia - it will not get better on its own. 

There are five main types of hernia:

  • Femoral Hernia - A bulge or protrusion in the upper thigh, below the groin. It is more common among women than men.

  • Hiatel Hernia - Occurs in the upper part of the stomach, where it pushes into the chest.

  • Incisional Hernia - This can occur in patients that have had abdominal surgery in the past.

  • Inguinal Hernia - A bulge in the groin that is most common in men. In some cases, this hernia may go all the way down into the scrotum.

  • Umbilical Hernia -  Most common during pregnancy, they occur right at your belly button, when your intestines bulge through the front of the abdominal wall.


It may seem odd, but there is no direct cause of hernias. Sometimes, they occur from heavy lifting or any activity that increases the pressure inside the abdomen such as straining during bowel movements. In some cases, a hernia may be present at birth but the bulge might not be noticeable until later in life.

Common symptoms of a hernia include discomfort, pain and often a bump that becomes sore and may grow. Some people also experience nausea, vomiting, gas, and constipation. Pain is often worse while standing, straining or lifting heavy objects. When a hernia gets bigger, it may obstruct a passage and block blood supply which is why it is best to have it repaired promptly, rather than waiting.

A hernia can be uncomfortable, unsightly, painful and can cause life-threatening complications such as intestinal obstruction and even intestinal perforation --  but knowing is half the battle. Help us educate your family and friends and encourage them to make an appointment to see Dr. Nakhjo for an evaluation.


Don’t put it off any longer - get rid of your pain and back to your normal activities!

There is no other treatment for a hernia - it will not get better on its own.


"Fixed, stitched and feeling like a man again! True professionals Dr. Nakhjo and his team navigated my double hernia surgery with ease. Totally alleviated all my difficulties and pain. Absolutely life changing!! Thank you!"

Ken  W.— Montague, NJ


"From my initial contact/exam through surgery and post surgery visit, my experience overall was outstanding (this includes staff and assistants). Dr. Nakhjo was very personable, informative and professional at all times. Surgery was obviously successful. Recovery was quick and progressed as had been explained by Dr. Nakhjo. Consequently, I am very happy with the results, and would freely and enthusiastically recommend Dr. Nakhjo to relatives, friends or anyone else who would ask. I had originally been referred to Dr. Nakhjo by my family physician, Dr. John Fisher of Sussex, NJ. "


Thomas T. - Sussex, NJ


"Dr. Nakhjo saved me from terrible pain that I had endured for a great while. I am truly so thankful. Doctor and staff treated me like family."

Suzanne S. - Newton, NJ


"I had an umbilical hernia for 2-3 years. It wasn't an emergency (yet), but I didn't like the way it looked or felt. It now looks great and feels fine. It was same day surgery at Newton Hospital. The team of nurses were good, too. Dr. Nakhjo explained things well, and answered any questions I had. The 1st week after was hard, painful, could not reach or bend, but that was expected. After that, it improved." 

Douglas H. - Hamburg, NJ