General Surgery

Ventral Hernia Repair Los Angeles

A ventral hernia occurs when tissue pushes through a weak spot in the abdominal wall, often after surgery or injury. At Surgery Group LA, Dr. Jason Cohen and Dr. Joshua Ellenhorn perform advanced laparoscopic and robotic ventral hernia repairs in Los Angeles and Beverly Hills. Their techniques minimize recurrence, reduce pain, and speed recovery, helping patients regain core strength and quality of life. If you suspect you have a ventral hernia call to schedule a consultation with our experienced hernia surgeons here at Surgery Group LA.
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What are Ventral Hernias?

A ventral hernia, also known as an abdominal wall hernia, develops when there’s a weakness or defect in the muscles of the abdominal wall, allowing abdominal organs or tissues to protrude. This protrusion typically manifests as a visible lump or bulge under the skin. Ventral hernias can occur at any location along the abdominal wall, but they most commonly develop in the midline, between the sternum and the pubic bone.

What causes Ventral Hernias?

The primary cause of ventral hernias is a weakened abdominal wall, which can result from various factors, including:

  • Previous abdominal surgery
  • Obesity
  • Pregnancy
  • Heavy lifting or strenuous physical activity
  • Chronic coughing or straining
  • Genetics

According to a study published in the Journal of the American Medical Association, ventral hernias are more prevalent in certain populations, with older adults and individuals with a history of abdominal surgery being at higher risk.

What are the symptoms of Ventral Hernias?

Hemorrhoids often manifest with a range of uncomfortable and sometimes painful symptoms. The symptoms of ventral hernias can vary depending on the size and location of the hernia. Common symptoms include:Here are the most common signs and symptoms associated with hemorrhoids:

  • Visible bulge or lump in the abdomen
  • Pain or discomfort, especially when lifting heavy objects or straining
  • Nausea or vomiting
  • Difficulty with bowel movements
  • Feeling of fullness or pressure in the abdomen

In some cases, a ventral hernia may become incarcerated, meaning that the protruding tissue becomes trapped and unable to return to its normal position. This can lead to severe pain and requires immediate medical attention.

Diagnosis & Screening

How are Ventral Hernias diagnosed?

Diagnosing a ventral hernia typically involves a physical examination by Dr. Ellenhorn. Imaging tests, such as ultrasound or MRI, may be ordered to confirm the diagnosis and assess the size and location of the hernia.
Treatment

What are the Treatment Options for Ventral Hernias?

Treatment options for ventral hernias vary depending on the severity of the condition. In many cases, surgery is recommended to repair the hernia and strengthen the abdominal wall. According to data from the National Institutes of Health, ventral hernia repair is one of the most commonly performed surgical procedures in the United States, with over 350,000 surgeries performed annually.
Surgical techniques for ventral hernia repair include open repair and laparoscopic repair. During the procedure, the protruding tissue is pushed back into place, and the weakened area of the abdominal wall is reinforced with sutures or a synthetic mesh.
In cases where the hernia is small and asymptomatic, watchful waiting may be an option. However, it’s essential to monitor the hernia closely and seek medical attention if symptoms worsen or new symptoms develop. If you are suffering from a ventral hernia, give us a call at 310-861-7493 to schedule a consultation with one of our hernia specialists.
Surgical Approaches

Open vs. Laparoscopic vs. Robotic Ventral Hernia Repair

Our board-certified surgeons tailor the approach to the size of your ventral hernia, your anatomy, and your medical history. Here is how the three main techniques compare.

Factor
Open Repair
Laparoscopic
Robotic (da Vinci)
Incisions
One larger incision over the hernia.
Several small keyhole incisions.
Several small incisions placed with robotic precision.
Best suited for
Large, complex, or recurrent ventral hernias.
Small to moderate ventral and umbilical hernias.
Precise mesh placement and abdominal-wall reconstruction, including component separation.
Typical recovery
Longer; about 4 to 6 weeks to full activity.
Faster, with less postoperative pain.
Comparable to laparoscopic, with enhanced dexterity for the surgeon.
Scarring
More noticeable.
Minimal.
Minimal.

Larger ventral and incisional hernias often benefit from robotic repair using the da Vinci® Surgical System, which supports precise mesh placement and component separation for a durable abdominal-wall reconstruction. Learn more about robotic surgery at Surgery Group LA.

Hernia Mesh

Mesh in Ventral Hernia Repair

For most ventral hernias, reinforcing the abdominal wall with mesh significantly lowers the chance the hernia returns. We choose the material and placement based on the size of the defect and your tissue.

Synthetic mesh

Durable polypropylene or polyester mesh used in most ventral repairs for strong, long-lasting reinforcement.

Biologic mesh

Made from purified tissue and gradually absorbed; useful in contaminated fields or for patients who prefer an absorbable option.

Composite mesh

Combines a non-stick barrier with a reinforcing layer so the mesh can safely sit against the abdominal organs in laparoscopic and robotic repairs.

Mesh placement

Depending on the defect, mesh may be positioned in front of, within, or behind the muscle layer (onlay, sublay, or underlay) for the most durable repair.

Mesh-free repair may be appropriate for very small ventral or umbilical defects, using a sutured tissue repair. Modern surgical mesh is rigorously regulated and, in the right repair, is both safe and highly effective. Your surgeon explains which approach they recommend and why.

Recovery

Ventral Hernia Repair Recovery Timeline

Most minimally invasive ventral hernia patients go home the same day. Recovery depends on the size of the defect and the approach, but here is what a typical recovery looks like.

First 24 to 48 hours

Rest at home, manage discomfort with prescribed or over-the-counter medication, and take short, gentle walks to encourage circulation.

Week 1

Many desk-based patients return to work. Keep activity light and avoid lifting anything heavier than about 10 pounds.

Weeks 2 to 4

Gradually resume daily activities and light exercise as comfort allows, following your surgeon's guidance.

Weeks 4 to 6

Most patients return to full activity, including heavier lifting and core exercise, after clearance at a follow-up visit. Larger or open repairs may need more time.

We provide personalized lifting restrictions, return-to-work timing, and pain-management guidance at every follow-up visit, and tailor them to the size of your repair.

Research & Expertise

Backed by the SGLA Research Foundation

Your ventral hernia repair is performed by board-certified, fellowship-trained surgeons who teach, publish, and advance the field, not just practice it.

Published, peer-reviewed surgeons

Our surgeons contribute to peer-reviewed surgical literature through the SGLA Research Foundation, helping shape best practices in minimally invasive and abdominal-wall surgery.

Cedars-Sinai affiliation

Procedures are performed by FACS surgeons affiliated with Cedars-Sinai Medical Center, one of the nation's leading academic medical centers.

Specialist hernia surgeons

Your repair is led by Dr. Joshua Ellenhorn and Dr. Jason Cohen, who bring decades of complex abdominal-wall and general-surgery experience to every repair.

Serving Los Angeles

Ventral Hernia Repair Across Los Angeles & Beverly Hills

Our practice is located at 8635 W 3rd St in the Cedars-Sinai Medical Office Towers, minutes from neighborhoods across the Westside and central Los Angeles. Call (310) 861-7493 to schedule a consultation.

Beverly HillsWest HollywoodSanta MonicaMid-CityHancock ParkCulver CityCentury City

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FAQ

Ventral Hernia Repair: Frequently Asked Questions

What is a ventral hernia?

A ventral hernia is a bulge that occurs when tissue pushes through a weak spot or opening in the abdominal wall, anywhere along the midline. It includes umbilical, epigastric, and incisional hernias.

Do all ventral hernias need surgery?

Small, painless ventral hernias may be monitored, but most enlarge over time and are repaired to relieve symptoms and prevent complications. Sudden severe pain or a firm, tender bulge needs emergency care.

How is a ventral hernia repaired?

Repair closes the defect in the abdominal wall and, in most cases, reinforces it with mesh. We use open, laparoscopic, or robotic techniques depending on the size and complexity of the hernia.

Is mesh always used for ventral hernia repair?

Mesh is used in most ventral repairs because it substantially lowers recurrence. Very small defects may be repaired with sutures alone. Your surgeon will explain the recommendation for your hernia.

How long is recovery after ventral hernia repair?

Many minimally invasive patients return to desk work within a week and to full activity in about 4 to 6 weeks. Larger or open repairs may take longer. We provide personalized lifting and activity guidance.

Will my ventral hernia come back after surgery?

Recurrence is uncommon after a properly performed, mesh-reinforced repair. Following your activity and lifting restrictions during recovery further reduces the risk.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

36,782

+

Successful Surgeries

126

Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with a Ventral Hernia Specialist Near Me

Ventral hernias can significantly impact an individual’s quality of life, causing pain, discomfort, and potential complications if left untreated. If you suspect you may have a ventral hernia or are experiencing symptoms, don’t hesitate to schedule a consult with our ventral hernia specialist for evaluation and guidance.

310-861-7493

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