NJASHA - Advanced Robotic and Laparoscopic Hernia Repair

Dr. Amit S. Kharod is the founder of Advanced Surgical Health Associates (ASHA) and is celebrating 10 years in private practice at ASHA. He is board-certified in general and laparoscopic surgery and Chief of Surgery at CentraState Medical Center. Dr. Kharod specializes in laparoscopic and robotic hernia repairs, complex abdominal wall reconstruction surgery, gall bladder removals, and breast surgery. With Dr. Thomas Kayal and Dr. Michael Menack, the practice offers a wide array of robotic and laparoscopic procedures with excellent patient care.

Hernia repairs are your most common procedures. What are your treatment options?
Depending on what type of hernia you have, there are various treatment options. Many patients are referred to our practice because we specialize in laparoscopic and robotic surgery, and only a small group of surgeons in this country know how to perform this type of surgery.

All of our surgeons have undergone advanced training to perform many different procedures laparoscopically using state-of-the-art tools and technology, such as robotics. Robotic surgery offers an innovative approach to hernia repair. The surgeon uses small tools attached to a robotic arm that is controlled by a computer. The treatment is similar to laparoscopic repair, but allows for more precision to service hard-to-reach spaces in the body.

What are some advantages of robotic-assisted surgery for hernia repairs?
Robotic surgery is used to treat all types of hernias, including hiatal (upper stomach), inguinal (groin), umbilical (belly button), incisional (previous surgery sites), and paraesophageal hernias. At ASHA, we use the da Vinci® Surgical System, a robotic-assisted surgical device that we are 100% in control of at all times. Some of the advantages of robotic surgery include better visibility for the surgeon due to the high definition 3-D camera, increased precision since the robotic arms have a greater range of motion than the human hand, and quicker recovery time and less scarring since the incision is about the size of a pencil eraser.

Is there a hernia surgery that can help those suffering from reflux?
Hiatal hernias, located in the diaphragm, can cause heartburn and gastroesophageal reflux disease (GERD). At ASHA, we perform a minimally invasive procedure called Transoral Incisionless Fundoplication (TIF) that corrects GERD by creating a valve mechanism at the bottom of the lower esophageal sphincter. TIF is performed under general anesthesia and most patients can return to work within a few days and are able to stop taking antacids.

Are there other minimally invasive procedures for hernia repair?
Minimally invasive laparoscopic surgery is the most common surgery method used to fix ventral, umbilical, and inguinal hernias. Surgeons make a few small incisions in the abdomen, navel, or groin area. Then, by using long, thin surgical instruments and a small camera that guides the doctor, he/she can close the weak spot in the muscle wall.

Do you have recommendations on how patients should choose a surgeon?
Even straightforward surgeries can result in complications, so make sure you choose your surgeon carefully. Research providers by asking your social network, as well as medical office and hospital based nurses for recommendations.

Don’t hesitate to ask a surgeon for patient references. You want to make sure that the surgeon you choose is regularly performing the operation you need with consistently successful outcomes.

What are some other surgical procedures that patients are getting in your office?
We also provide conservative surgical options for the bowel, liver, appendix, thyroid and parathyroid, veins, and hemorrhoid treatment. In addition, we offer testing for chronic constipation, fecal incontinence, and esophageal reflux. At ASHA, we will work with you to figure out the best plan of action for your health.

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26 Sep 2017