Columbia Hernia Center
The Columbia Hernia Center brings together a group of surgeons focused on hernias. We are adept in using the newest techniques and materials in hernia repair. Our surgeons are experienced in treating primary and recurrent hernias using both open and laparoscopic methods.
Abdominal wall and groin hernia repair has made major advances in recent years, leading to smoother recovery, minimizing recurrence, eliminating tension on muscle layers, and making treatment possible for hernias previously considered not repairable.
New prosthetic materials strengthen the abdominal wall and groin without need for the surgeon to cut into adjacent muscles. These "tension-free" procedures come with less pain and involve minimal recurrence. Advances in laparoscopic surgery often mean a more rapid return to normal activity, with reduced discomfort and hospital stay for the patient.
Abdominal and groin hernias can be painful, may compromise lifestyle, and in some cases can be dangerous if left untreated. Our center is available to patients for consultation, surgical treatment, follow-up, or just for questions, and we can provide appointments within a week.
One of our surgeons is always on call for emergency situations.
We have offices throughout Manhattan, at Columbia University Irving Medical Center, Columbia’s Midtown offices and Columbia's Allen Hospital. Coming from out of town? We have special services for out of state and international patients.
If you would like to set up a consultation, please call us at (212) 305-5947 or use our online appointment request form. We look forward to answering your questions and meeting your hernia care needs.
Stories & Perspectives
When he was only 4 years old, Daniel Borg was diagnosed with Crohn’s disease, a debilitating condition that causes weight loss, fatigue, diarrhea, pain and cramping and bleeding from the rectum. For Daniel this meant a pretty challenging childhood—one marked by several operations, home schooling and a restricted social life.
What is a Hernia?
A hernia is a weakness or opening in the abdominal wall, which often results in soft tissue such as fat or intestine protruding through the abdominal muscles and occupying space under the skin. The mechanism of the hernia is similar to what happens with a bulge in a damaged tire, where the inner tube, normally contained by the hard rubber of the tire, extends through a thin or weakened place. The opening in the abdominal wall that leads to the hernia is also known as a hernia defect.
Types of Hernias
Inguinal hernias are the most common of all hernias, and are sometimes referred to as groin hernias. They occur near the crease between the lower abdomen and the upper thigh. When an inguinal hernia develops, intestine may protrude through the defect in the abdominal wall, creating a bulge on the right or left side. Inguinal hernia bulges are frequently, though not always, painful. Between 10 and 15 percent of males and two percent of females will develop inguinal hernias in their lifetime.
Ventral hernias are less common than inguinal hernias, with some 10 percent of both males and females expected to develop one during their lifetime. These hernias occur outside the inguinal area of the abdomen, in the epigastrium, the part of the abdominal wall above the umbilicus (belly button) and/or within the umbilicus itself. The Spigelian hernia, another more rare type of ventral hernia, occurs in the mid-abdomen.
Inguinal and ventral hernias may develop due to a number of factors, including obesity, aging, and strenuous physical activity requiring heavy lifting, such as construction work. Certain rare conditions such as collagen vascular disease or genetic defects involving connective tissue may also cause abdominal hernias.
Incisional hernias are a special kind of ventral hernia that occur where prior abdominal surgery has weakened the abdominal wall, or where infection in a healing surgical incision causes breakdown of the wound closure. Incisional hernias are common in patients who have had intestinal surgery complicated by wound infections. About 25 to 30 percent of both males and females will develop an incisional hernia when a wound infection occurs after abdominal surgery.
Surgical Hernia Repair
Anyone who has the symptoms of a hernia, such as pain or a bulge, should consider having a hernia repair. All candidates for hernia repair are evaluated to identify factors that can be modified to minimize the risk of complications.
Hernia repair is conducted using one of two surgical approaches, both of which utilize a piece of synthetic, or prosthetic, mesh to reinforce the weakness in the abdominal wall. When expertly performed, both approaches result in a successful hernia repair.
Open Surgical Repair
The surgeon makes an incision directly over the hernia defect and sews the prosthetic mesh to the abdominal wall. The surgery is done on an outpatient basis, usually under local anesthesia with conscious sedation. This approach is very successful in the repair of small hernias.
Alternatively, a hernia may be repaired using a minimally invasive, or laparoscopic, approach performed while the patient is under general anesthesia. The surgeon inserts small tubes called cannulas through the abdominal wall at some distance from the hernia defect. A mesh prosthesis is then passed through one of the tubes into the abdomen and fixed to the undersurface of the abdominal wall with stitches and staples. This technique is used for both small and large hernias of the abdomen.
Phone: (212) 305-5947
Fax: (212) 305-0755
Dr. Novitsky is a Professor of Surgery at the Columbia University College of Physicians and Surgeons and the Director of the Columbia Comprehensive Hernia Center. He is a member of the Board of Governors of the Americas Hernia Society and a Chair of its Practice Advisory Committee.
He has extensive expertise in advanced laparoscopic and robotic surgery as well complex inguinal and ventral hernia repairs. Dr. Novitsky has published over 130 peer-reviewed papers and numerous book chapters in the field of Minimally-Invasive and Hernia Surgery. He has edited the State-of-the-art textbook on Current Principles of Hernia Surgery. He is an Associate Executive Editor of the World Journal of Hernias and Abdominal Wall Reconstruction.
Dr. Novitsky has successfully developed and applied pioneering techniques for minimally-invasive ventral hernia repair and open abdominal wall reconstructions. Those procedures have been widely adopted around the world. He has been a Faculty and a Visiting Professor at numerous National and International Congresses and Symposia in Europe, Asia, Central and South Americas.
Dr. Novitsky was trained in General Surgery at the Mount Sinai Medical Center in New York City and the University of Massachusetts Medical Center and then completed his research and clinical fellowships in minimally-invasive and hernia surgery at the Carolinas Medical Center in Charlotte, North Carolina.
Phone: (212) 305-0319
Fax: (212) 932-4328
Zachary L. Gleit, MD, has served as Director of Surgery at the Allen Hospital since 2008 and has practiced surgery at NewYork-Presbyterian/Columbia University Medical Center since 2001. After completing his undergraduate education at Harvard College, he received his medical degree at Harvard Medical School/Harvard-MIT Division of Health Sciences and Technology, followed by surgical training at NewYork-Presbyterian/Columbia. He traveled to Ethiopia in 1998 as part of a humanitarian mission with Doctors Without Borders. Dr. Gleit’s surgical practice in the Hernia Center and in the Division of General Surgery includes hernia repair, gall bladder surgery, colorectal surgery, appendectomy, and splenectomy. He has a special interest in abdominal wall reconstruction and complicated abdominal wall and groin hernias.
Phone: (212) 305-5221
Fax: (212) 932-5425
Dr. Amory received his medical training from Johns Hopkins and Columbia Universities. He developed techniques in laparoscopic cholecystectomy that enabled his group to have the lowest open cholecystectomy rates in the state. In addition, Dr. Amory has earned a reputation for his diagnostic acumen in complex surgical problems and for highly individualized and personalized care. In recognition of his exceptional care of patients, collegiality with peers, and outstanding outcomes, Dr. Amory was awarded the the 2014 Jerry Gliklich Award for Exemplary Clinical Care, formerly "Practitioner of the Year" award, by the NewYork-Presbyterian/Columbia University Medical Center Society of Practitioners.
Phone: (212) 305-5947
Fax: (212) 305-0755
Dr. Podolsky specializes in all aspects of hernia surgery, including inguinal, ventral, and complex abdominal wall reconstruction, employing minimally invasive techniques with laparoscopic and robotic surgery. Dr. Podolsky completed fellowship training in complex abdominal wall reconstruction and robotic surgery with the Division of General Surgery, working closely with Yuri Novitsky, MD. She is a member of several national organizations, including the Americas Hernia Society and the Society of American Gastrointestinal and Endoscopic Surgeons. Dr. Podolsky currently sees patients in midtown Manhattan, Washington Heights, and in Westchester at NYP/Lawrence Hospital.
Stories & Perspectives
At 74, Larry Grunfeld was having a wonderful retirement, with plenty of time on the Connecticut golf course, hiking, and swimming to his heart’s content. Then in early 2018, he had pain in his side while walking, and while lying down. The discomfort was so intense, he couldn’t sleep. After his local physician found a hernia in his groin, Larry came to Columbia’s Comprehensive Hernia Center because he wanted the best possible care. He was treated by Dr. Yuri Novitsky, the Center’s director, and a pioneer in minimally-invasive repair that leaves patients with less pain and little down time.
Prospective patients are seen at the Columbia Hernia Center for a consultation, which includes a comprehensive medical history, physical examination, and detailed discussion with the doctor. If patients have had prior abdominal or hernia surgery, they are asked to bring their operative reports and copies of any abdominal CT scans that were performed prior to their consultation. If the doctor recommends a hernia repair and the patient wishes to proceed with scheduling surgery, a date is chosen and pre-operative testing is ordered (blood, EKG, and chest x-ray when appropriate). Testing is usually accomplished in about 1 hour at the Hernia Center, but it may also be done near the patient’s residence if that is more convenient. Instructions are given regarding management of standing medications, diet, and bowel preparation, when necessary.
Day of Surgery
Surgery is performed at one of Columbia University Medical Center's sites in Manhattan — either at the main 165th Street location or at the Allen Hospital at 220th Street. Patients are asked to report to the facility 90 minutes prior to the anticipated time of their procedure, in order to check in and be seen by their anesthesiologist. The anesthesiologist will examine the patient and review the patient’s medical history, focusing on prior surgery and any anesthetic concerns that the patient may have. Most ambulatory surgery operations, such as inguinal and umbilical hernia repairs, are performed under local anesthesia with additional relaxing and pain-relieving medication provided by the anesthesiologist to assure complete patient comfort. Ambulatory surgery patients who do not need general anesthesia are usually discharged from the recovery room within one hour of completion of their surgery. Prescriptions for pain medication are given and a follow-up appointment with the surgeon is scheduled.
Patients are advised that they should expect to experience some pain after hernia surgery, although it frequently proves to be less than they anticipate. Avoidance of certain movements, particularly contraction of the abdominal muscles when sitting up, helps to minimize pain. Strategies for reducing pain are discussed and medications are prescribed. Patients are encouraged to resume all normal activities as soon as they feel confident that they can do so without causing unreasonable pain. Normal diets can be resumed immediately. Most patients are able to return to work in 1 week or less, and to return to exercise regimens after 2 weeks. Patients may travel safely at any time after surgery provided they have checked-in with their surgeon and confirmed the stability of their health. Suture removal is not required as wound closures are performed with absorbable sutures.
Columbia Hernia Center
NewYork-Presbyterian/Columbia University Medical Center
The Herbert Irving Pavilion
161 Fort Washington Avenue (at West 165th Street), 5th Floor
New York, NY 10032
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Columbia Doctors Midtown
51 West 51st Street
New York, NY 10019
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The Allen Hospital
5141 Broadway (at West 220th Street), 3rd Floor
New York, NY 10034
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