This department offers
- Hernia repair surgery
Expert, comprehensive care for complex hernias
Get expert care for the full spectrum of routine and complex hernias at Avenues Specialty Clinic in Salt Lake City. Our experienced surgeons use advanced techniques and a team‑based approach to restore abdominal strength and improve quality of life.
For patients traveling long distances, we also offer convenient telehealth visits in Utah, Nevada, Idaho, Wyoming, and Colorado. If you would like a telehealth appointment, please contact our office to provide the necessary medical information and test results prior to your visit.
Why patients choose our complex hernia program
Avenues Specialty Clinic provides advanced surgical solutions for complex abdominal hernias. Our fellowship‑trained surgeons use minimally invasive, robotic, and open techniques tailored to your anatomy and health needs—helping you recover faster and reduce recurrence risk.
Advanced treatments for complex hernia repair
Our complex hernia program provides advanced surgical options tailored to each patient’s anatomy, medical history, and goals.
- Chronic pain evaluation and treatment following prior hernia repairs
- Complex ventral and incisional hernia repair using open, laparoscopic, and robotic‑assisted techniques
- Care for hernias involving loss of domain
- Component separation for large or recurrent hernias
- Diaphragmatic hernias
- Mesh reinforcement or mesh‑free repair, based on patient needs
- Paraesophageal (hiatal) hernias
- Parastomal, flank, lumbar, and spigelian hernia repair
- Pre‑surgical optimization: weight management, smoking cessation, chronic disease stabilization
- Revision and mesh removal surgery for failed or complicated prior repairs
- Sports hernias: Rectus diastasis and athletic pubalgia
Answers to common questions about complex hernia care
Learn what to expect before, during, and after complex hernia surgery.
Complex abdominal hernia repair is an advanced surgical procedure for patients with large, recurrent, or complicated hernias. These hernias occur when the abdominal wall muscles and tissues are weakened or damaged, making standard repair difficult.
A hernia is considered complex when standard repair becomes challenging due to:
- Multiple prior hernia surgeries Infection or poor healing
- Loss of abdominal wall integrity
- Hernias involving other organs (intestines, appendix, ovaries, spleen)
- Complications like bowel obstruction or trapped intestine
Common contributing factors: obesity, smoking, chronic illness, previous surgical site weakness, and mesh complications.
You may be a candidate if you have:
- Recurrent or failed hernia repairs
- Large or “loss of domain” hernias (where organs protrude significantly)
- Hernias after bariatric or major abdominal surgery
- Hernias complicated by infection or mesh issues
- Complex anatomy requiring advanced surgical techniques
Pre-surgical optimization is often recommended to help improve healing and reduce complications, including:
- Weight management
- Smoking cessation
- Treatment of underlying conditions
Complex hernia repair may be necessary when:
- Previous hernia repairs have failed
- The hernia causes pain, bowel obstruction, or other complications
- The hernia is too large for traditional repair methods
- Infection or poor healing has compromised the abdominal wall
- Quality of life is significantly impacted