Hernia & abdominal wall surgery
Some hernias are a minor nuisance; some are dangerous; a few are a genuine engineering problem. Ram repairs all of them — and is sent the difficult ones. Choose a condition below for a plain-language guide.
Conditions
The common groin hernia. Open mesh, laparoscopic TEP/TAPP, and when each fits.
Read the guide →Lower in the groin, more likely to obstruct — the reason any groin lump deserves a look.
Read the guide →Small midline defects at or above the navel — when to watch, when to repair.
Read the guide →Hernias through the front of the abdomen, often at the site of a previous scar.
Read the guide →Component separation and TAR for large, recurrent or contaminated defects.
Read the guide →Hernias of the stomach through the diaphragm, with or without reflux.
Read the guide →The repairs
Keyhole groin repair with mesh placed behind the muscle wall. Less pain, earlier return to activity, and the approach of choice for two-sided and recurrent hernias.
Read the guide →The durable open mesh repair, often performed under local or regional anaesthetic — useful when a general anaesthetic is best avoided.
Read the guide →Mesh placed behind the rectus muscles for midline ventral and incisional hernias — the workhorse of abdominal wall repair.
Read the guide →Releasing the muscle layers so that large, recurrent or wide defects can be closed without tension — the operation behind complex reconstruction.
Read the guide →Keyhole repair with a robotic platform — wristed instruments and a 3D view for the precise suturing that complex abdominal wall work depends on.
Read the guide →