What Is a Hernia?
A hernia occurs when tissue, such as part of the intestine or fatty tissue, pushes through a weak spot in the surrounding muscle or connective tissue. This often produces a visible or palpable bulge and can range from painless to acutely symptomatic. While some hernias cause no immediate discomfort, all carry the risk of serious complications if left untreated, and surgical repair is the only effective treatment.
Dr. Pakula treats all hernia types in both men and women using advanced robotic technology, performing procedures through tiny incisions that reduce recovery time and minimize the risk of recurrence compared to traditional open approaches. She also specializes in complex abdominal wall reconstruction for patients with difficult or recurrent hernias.
Hernia Types Treated
Symptoms & When to Seek Care
Many hernias present as a visible bulge that becomes more noticeable when standing, coughing, or straining. Some cause localized aching or a sense of pressure. Others produce no symptoms at all and are discovered on routine physical exam. The absence of pain does not mean a hernia is safe to leave untreated — all hernias have the potential to enlarge over time and develop serious complications.
If you notice a new lump in your abdomen, groin, or around a previous surgical scar, or if you experience sudden onset pain, nausea, vomiting, or an inability to push a bulge back in, contact our office or seek emergency care. These may be signs of an incarcerated or strangulated hernia, both of which require urgent surgical attention.
Complications of Untreated Hernias
Why Robotic Hernia Repair
Dr. Pakula performs hernia repairs using the Da Vinci robotic system, which provides three-dimensional visualization and instrument precision not achievable with conventional laparoscopy. This is particularly valuable in complex repairs where anatomy is distorted by previous surgery, obesity, or recurrent hernias requiring abdominal wall reconstruction.
Robotic repair allows Dr. Pakula to place mesh with greater accuracy, reduce the risk of nerve injury, and work in tight anatomical spaces with minimal tissue disruption. The result is a lower recurrence rate, less post-operative pain, and a faster return to full activity compared to traditional open hernia surgery.