Expert Hernia Repair from a Johns Hopkins Fellowship-Trained Specialist
At Lalezari Surgical, led by renowned Hernia Surgeon Dr. Sepehr Lalezari, MD, FACS, in Los Angeles, we specialize in providing advanced, minimally invasive hernia repair services that represent the pinnacle of modern surgical care. Dr. Lalezari brings exceptional qualifications to hernia surgery, including his fellowship training from Johns Hopkins Medicine, over eight years of specialized experience in minimally invasive techniques, and published research in hernia prevention and management. As a board-certified Fellow of the American College of Surgeons (FACS) with recognition as a Los Angeles Magazine “Top Doctor” (2021-2024) and SUPERDOCTORS “Rising Star” (2023-2025), Dr. Lalezari’s approach is designed to minimize discomfort, speed up recovery, and reduce hernia recurrence using the latest surgical techniques.
Dr. Lalezari’s unique expertise in hernia surgery stems from his comprehensive understanding of complex abdominal anatomy gained during his bariatric surgery fellowship, combined with his published research on incisional hernia prevention and biologic mesh applications. This specialized knowledge allows him to provide patients with the most advanced hernia repair techniques available, ensuring optimal outcomes and long-term success.
Expert Care for Various Types of Hernias
Dr. Lalezari and our surgical team are extensively experienced in treating a comprehensive range of hernia types, each requiring specialized care and expertise based on anatomical considerations, patient factors, and the latest evidence-based surgical approaches. His fellowship training at Johns Hopkins Medicine provided intensive exposure to both routine and complex hernia repairs, ensuring optimal outcomes across all hernia types.
- Inguinal Hernia
Commonly occurring in the groin area, inguinal hernias represent the most frequent type of hernia and are effectively treated using Dr. Lalezari’s advanced laparoscopic surgery techniques to ensure less pain, minimal scarring, and quicker recovery compared to traditional open repair methods.
Types of Inguinal Hernias Treated:
- Direct Inguinal Hernias: Weakness in the abdominal wall causing protrusion through Hesselbach’s triangle
- Indirect Inguinal Hernias: Congenital weakness allowing herniation through the inguinal canal
- Recurrent Inguinal Hernias: Complex cases requiring revision surgery after failed previous repairs
- Bilateral Inguinal Hernias: Simultaneous repair of hernias on both sides
Dr. Lalezari’s Advanced Inguinal Hernia Techniques:
- TEP (Totally Extraperitoneal) Repair: Gold standard minimally invasive approach with no entry into the peritoneal cavity
- TAPP (Trans-Abdominal Pre-Peritoneal) Repair: Advanced laparoscopic technique for complex cases
- Robotic-Assisted Repair: Enhanced precision for complex or recurrent hernias
- Tension-Free Mesh Repair: Advanced mesh placement techniques for optimal strength and comfort
Expected Outcomes: Patients typically experience same-day discharge, return to work in 1-2 weeks, and resume full activities in 2-4 weeks with excellent long-term success rates and minimal recurrence.
- Umbilical Hernia
Often appearing at the belly button, umbilical hernias are repaired through Dr. Lalezari’s minimally invasive techniques that leave minimal scarring, promote rapid healing, and provide excellent cosmetic outcomes while ensuring long-term strength and durability.
Umbilical Hernia Characteristics and Treatment:
- Adult Umbilical Hernias: Often associated with increased abdominal pressure or weakened abdominal wall
- Complex Umbilical Hernias: Large defects requiring advanced reconstruction techniques
- Incarcerated Umbilical Hernias: Urgent cases requiring immediate surgical intervention
- Recurrent Umbilical Hernias: Revision repairs using advanced mesh techniques
Advanced Repair Techniques:
- Primary Suture Repair: For small defects with healthy tissue
- Mesh-Reinforced Repair: Advanced synthetic or biologic mesh applications
- Minimally Invasive Approaches: Laparoscopic techniques for large or complex hernias
- Component Separation: Advanced techniques for complex abdominal wall reconstruction
Clinical Advantages: Excellent cosmetic outcomes, minimal post-operative pain, and rapid return to normal activities with Dr. Lalezari’s refined surgical techniques.
- Ventral/Epigastric Hernia
These hernias appear in the abdominal wall between the chest and belly button and are expertly managed with Dr. Lalezari’s precision techniques to restore abdominal integrity and function while minimizing the risk of recurrence through advanced mesh placement and tissue reinforcement strategies.
Types of Ventral Hernias Treated:
- Epigastric Hernias: Small hernias in the upper abdomen between the breastbone and navel
- Incisional Hernias: Hernias developing at previous surgical incision sites
- Spigelian Hernias: Rare hernias occurring at the lateral edge of the rectus muscle
- Complex Ventral Hernias: Large defects requiring advanced reconstruction techniques
Dr. Lalezari’s Ventral Hernia Expertise:
- Laparoscopic IPOM (Intraperitoneal Onlay Mesh): Minimally invasive approach for most ventral hernias
- Component Separation Techniques: Advanced methods for large hernia repairs without excessive tension
- Biologic Mesh Applications: Specialized materials for contaminated or complex cases
- Robotic-Assisted Repair: Enhanced precision for complex abdominal wall reconstruction
Advanced Reconstruction Capabilities:
- Management of loss-of-domain hernias requiring specialized techniques
- Complex revision surgeries for failed previous repairs
- Infected mesh management and reconstruction
- Comprehensive abdominal wall rehabilitation
- Hiatal Hernia
Located at the diaphragm where the esophagus passes through to connect with the stomach, hiatal hernias require specialized surgical approaches. Dr. Lalezari’s expertise includes advanced procedures such as Nissen fundoplication to treat associated GERD symptoms while effectively repairing the hernia and restoring normal anatomy.
Types of Hiatal Hernias:
- Type I (Sliding) Hiatal Hernias: Most common type with gastroesophageal junction displacement
- Type II (Paraesophageal) Hernias: Part of the stomach herniates alongside the esophagus
- Type III (Mixed) Hernias: Combination of sliding and paraesophageal components
- Type IV (Giant) Hernias: Large hernias with multiple organs in the chest
Advanced Hiatal Hernia Repair Techniques:
- Laparoscopic Nissen Fundoplication: 360-degree wrap for complete reflux control
- Partial Fundoplication (Toupet, Hill): Tailored approaches for specific patient needs
- Crural Repair: Reinforcement of the diaphragmatic opening
- Mesh-Reinforced Repair: Advanced materials for large defects or recurrent hernias
Comprehensive GERD Management:
- Pre-operative evaluation including pH studies and esophageal manometry
- Individualized anti-reflux procedure selection
- Advanced laparoscopic techniques for optimal anatomical restoration
- Long-term follow-up for sustained symptom relief
Advanced Hernia Surgery Specializations
- Complex Abdominal Wall Reconstruction
Dr. Lalezari’s fellowship training and published research provide expertise in the most challenging hernia cases:
- Loss-of-Domain Hernias: Massive defects requiring specialized reconstruction techniques
- Infected Mesh Management: Complex revision procedures for mesh complications
- Multiple Recurrent Hernias: Advanced approaches for repeatedly failed repairs
- Contaminated Field Repairs: Specialized techniques using biologic materials
- Emergency Hernia Surgery
Dr. Lalezari’s experience includes urgent hernia procedures:
- Incarcerated Hernias: Urgent reduction and repair to prevent complications
- Strangulated Hernias: Emergency surgery to restore blood supply and prevent tissue death
- Bowel Obstruction: Immediate intervention for hernias causing intestinal blockage
- Perforated Viscera: Complex repairs involving bowel resection when necessary
- Revision Hernia Surgery
Specialized expertise in correcting failed previous hernia repairs:
- Recurrent Hernia Management: Advanced techniques for repeatedly failed repairs
- Mesh Complications: Removal and replacement of problematic mesh materials
- Chronic Pain Management: Surgical solutions for persistent post-hernia repair pain
- Anatomical Restoration: Complex reconstruction to restore normal anatomy
Why Choose Lalezari Surgical for Hernia Repair?
- Exceptional Training and Expertise
Choosing Lalezari Surgical for your hernia repair means opting for a clinic that is at the forefront of surgical innovation and patient care under the direction of a fellowship-trained specialist:
- Johns Hopkins Fellowship Training: One of the world’s premier surgical training programs
- Board Certification: Fellow of the American College of Surgeons (FACS)
- Specialized Experience: Over eight years of advanced minimally invasive hernia surgery
- Published Research: Peer-reviewed articles in hernia prevention and management
- Professional Recognition: Los Angeles Magazine “Top Doctor” and SUPERDOCTORS awards
- Minimally Invasive Surgical Leadership
We employ the most advanced laparoscopic and robotic surgery methods that involve smaller incisions, resulting in:
- Reduced Post-operative Pain: Minimal tissue trauma and faster healing
- Lower Complication Rates: Decreased risk of wound infections and other complications
- Faster Return to Activities: Earlier resumption of work and normal daily activities
- Superior Cosmetic Outcomes: Minimal scarring with excellent aesthetic results
- Shorter Hospital Stays: Many procedures allow same-day discharge
- Experienced Surgical Excellence
Led by Dr. Lalezari, our team brings years of specialized experience and a proven track record of successful hernia repairs:
- Complex Case Management: Expertise in the most challenging hernia presentations
- Advanced Technique Mastery: Proficiency in all modern hernia repair methods
- Quality Outcomes: Industry-leading success rates with minimal recurrence
- Patient Safety Focus: Comprehensive protocols for optimal surgical safety
- Continuous Innovation: Adoption of the latest advances in hernia surgery
- Personalized Patient Care Approach
We understand that each patient’s hernia condition is unique. Dr. Lalezari’s approach is tailored to meet individual needs, ensuring that all aspects of care are addressed from initial consultation through complete recovery:
- Comprehensive Assessment: Thorough evaluation of hernia type, size, and patient factors
- Individualized Treatment Plans: Customized surgical approaches based on specific needs
- Patient Education: Detailed explanation of condition, treatment options, and expectations
- Family Involvement: Education and support for family members and caregivers
- Long-term Follow-up: Continued monitoring for optimal outcomes and prevention
What to Expect During Your Hernia Surgery Journey
- Comprehensive Pre-operative Evaluation
When you choose Lalezari Surgical for hernia repair, your journey begins with Dr. Lalezari’s thorough assessment to diagnose the type and severity of the hernia and discuss the best surgical options tailored to your specific needs.
Initial Consultation Process:
- Detailed Medical History: Comprehensive review of symptoms, previous treatments, and medical conditions
- Physical Examination: Thorough assessment of hernia characteristics and abdominal wall integrity
- Advanced Imaging: CT scanning or other studies when indicated for complex cases
- Risk Assessment: Evaluation of surgical candidacy and optimization of medical conditions
- Treatment Planning: Discussion of all available surgical options and expected outcomes
Pre-operative Optimization:
- Medical condition management and surgical risk minimization
- Nutritional assessment and optimization when needed
- Smoking cessation counseling for optimal healing
- Weight management strategies when appropriate
- Insurance verification and financial planning
- Expert Surgical Procedure
Dr. Lalezari provides detailed explanation of the procedure, what to expect during surgery, and the specific techniques that will be used based on your individual hernia characteristics and anatomy.
Surgical Excellence Standards:
- Advanced Minimally Invasive Techniques: Laparoscopic and robotic approaches when appropriate
- Precision Mesh Placement: Optimal positioning for long-term success and comfort
- Comprehensive Safety Protocols: Real-time monitoring and quality assurance measures
- Individualized Approach: Technique selection based on hernia type and patient factors
- Quality Assurance: Systematic approach to surgical excellence and outcome optimization
Intraoperative Care:
- State-of-the-art surgical facilities with advanced equipment
- Experienced anesthesia team for optimal perioperative care
- Real-time monitoring of all vital parameters
- Immediate post-operative assessment and planning
- Comprehensive Postoperative Care
Dr. Lalezari provides comprehensive guidance on recovery, including pain management, activity restrictions, and follow-up appointments to ensure optimal healing and long-term success.
Immediate Post-operative Care:
- Advanced Pain Management: Multimodal approaches for optimal comfort
- Early Mobilization: Protocols to prevent complications and promote healing
- Wound Care: Comprehensive instructions for optimal healing
- Activity Guidelines: Specific restrictions and progression protocols
- Complication Prevention: Proactive strategies to minimize risks
Long-term Recovery Support:
- Regular Follow-up Appointments: Scheduled visits to monitor healing and outcomes
- Activity Progression: Gradual return to full activities based on healing
- Long-term Monitoring: Surveillance for hernia recurrence and overall satisfaction
- Patient Education: Ongoing guidance for hernia prevention and health maintenance
- Access to Care: Direct communication with Dr. Lalezari for questions or concerns
Advanced Hernia Repair Technologies
- State-of-the-Art Mesh Materials
Dr. Lalezari utilizes the most advanced mesh technologies for optimal outcomes:
- Lightweight Synthetic Meshes: Reduced foreign body sensation with excellent strength
- Biologic Meshes: Specialized materials for contaminated or complex cases
- Composite Meshes: Advanced materials designed for intraperitoneal placement
- Self-Gripping Meshes: Innovative fixation methods reducing post-operative pain
- Robotic-Assisted Surgery Capabilities
When appropriate, Dr. Lalezari employs robotic surgery for enhanced precision:
- Enhanced Visualization: High-definition 3D imaging for optimal precision
- Superior Dexterity: Articulated instruments for complex maneuvers
- Reduced Conversion Rates: Lower likelihood of conversion to open surgery
- Improved Ergonomics: Enhanced surgeon performance and precision
- Enhanced Recovery Protocols
Evidence-based approaches to optimize healing and recovery:
- Multimodal Pain Management: Comprehensive strategies to minimize discomfort
- Early Mobilization: Protocols to promote faster healing
- Nutritional Optimization: Dietary strategies for optimal wound healing
- Patient Education: Comprehensive preparation and expectation management
Conditions We Treat
- Common Hernia Types
- Inguinal Hernias: Direct and indirect groin hernias
- Umbilical Hernias: Hernias at the belly button in adults
- Ventral Hernias: Epigastric and other midline abdominal hernias
- Incisional Hernias: Hernias at previous surgical incision sites
- Hiatal Hernias: Diaphragmatic hernias affecting the stomach and esophagus
- Complex Hernia Conditions
- Recurrent Hernias: Previously repaired hernias that have returned
- Large Ventral Hernias: Massive abdominal wall defects requiring reconstruction
- Infected Mesh: Complications from previous mesh repairs
- Loss-of-Domain Hernias: Extensive defects with loss of abdominal wall integrity
- Emergency Hernias: Incarcerated or strangulated hernias requiring urgent surgery
- Associated Conditions
- Gastroesophageal Reflux Disease (GERD): Often associated with hiatal hernias
- Chronic Abdominal Pain: May be related to hernia or previous repair complications
- Bowel Obstruction: Can occur with incarcerated or large hernias
- Diastasis Recti: Separation of abdominal muscles often treated concurrently
Frequently Asked Questions
Dr. Lalezari's fellowship training at Johns Hopkins Medicine, combined with his published research in hernia prevention and management, board certification, and extensive experience with complex cases, makes him one of Los Angeles' most qualified hernia surgeons.
Minimally invasive techniques result in less post-operative pain, smaller scars, faster recovery, shorter hospital stays, and lower complication rates compared to traditional open hernia repair methods.
Dr. Lalezari's comprehensive evaluation will determine if surgery is necessary. Generally, hernias that cause symptoms, are enlarging, or pose risk of complications benefit from surgical repair.
Recovery varies by hernia type and repair method. Most patients return to work in 1-2 weeks and resume full activities in 2-6 weeks. Dr. Lalezari's minimally invasive techniques typically allow for faster recovery.
While all surgery carries risks, Dr. Lalezari's extensive training and experience minimize complications. Specific risks vary by hernia type and repair method and are thoroughly discussed during consultation.
Dr. Lalezari's advanced repair techniques significantly reduce recurrence risk. Post-operative care instructions, activity modifications, and long-term follow-up help ensure optimal outcomes.
Meet Our Skilled Hernia Surgeon in Los Angeles
If you’re experiencing symptoms of a hernia and need expert surgical care, contact Lalezari Surgical today. Dr. Lalezari’s unique combination of Johns Hopkins fellowship training, extensive minimally invasive surgery experience, and commitment to patient-centered care provides the foundation for exceptional hernia surgery outcomes.
Why Choose Dr. Lalezari for Hernia Surgery:
- Fellowship training from Johns Hopkins Medicine in advanced surgical techniques
- Board-certified FACS with 8+ years of specialized hernia surgery experience
- Published researcher in hernia prevention and advanced repair techniques
- Los Angeles Magazine “Top Doctor” and SUPERDOCTORS recognition
- Comprehensive facility with advanced laparoscopic and robotic capabilities
- Personalized approach to each patient’s unique hernia condition
Schedule a consultation with Dr. Sepehr Lalezari today. We are dedicated to providing the highest level of hernia care and helping you return to a pain-free, active life with confidence in your surgical repair.
What to Expect During Your Consultation:
- Personal evaluation by Dr. Lalezari with comprehensive hernia assessment
- Discussion of all available surgical options and techniques
- Realistic outcome expectations and individualized risk assessment
- Development of personalized treatment plan
- Insurance verification and financial counseling
- Access to advanced diagnostic capabilities when needed
Dr. Sepehr Lalezari is a board-certified hernia surgeon with fellowship training from Johns Hopkins Medicine. Individual results may vary. This information is for educational purposes and does not replace professional medical advice. Always consult with Dr. Lalezari or a qualified healthcare provider for personalized medical guidance.
