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David A. Kloss

M.D., F.A.C.S.
Phone: (218) 631-3510

Dr. Kloss
In the News

Dr. Kloss pioneers aortic stent graft procedure.

Dr. Kloss on screening colonoscopy
  • As talkshow guest

  • Surgical Services...

    Hernia Surgery

    Hernia surgery is a very common operation in America. Dr. David A. Kloss is a board certified general surgeon. The repair of both groin hernia (inguinal hernia) and abdominal wall hernias is common place, but not routine. Regardless, of the technique, Dr. Kloss treats each one very carefully and with great surgical skill.

    Depending upon the circumstances of the particular patient's hernia, the repair may require a special patch material to reinforce the tear in the body's muscle layer or if the hernia is small enough only stitches will be required (primary repair) to close the hernia.

    In addition, some hernias are repaired using the laparoscope and some are repaired in the "open" surgical technique.

    Pictured above, top left: ventral hernia with fat incercated; top right: ventral hernia: tear in the muscles; bottom left & right: ventral hernia after repair with patch

    In men, groin hernias (inguinal) are very common. Some hernias are a result of age, lifting too heavy an object and thinning muscle tissues and then "pop"; the muscles tear and the bulge suddenly becomes noticeable! Other groin hernias are a slow gradual weakening of the abdominal hernia canal (where the testicle has developed as an infant). These hernias gradually get larger as the years go on and also show up as a lump in the groin area. These types of hernias can be painful and rarely can they become a "strangulated hernia". These hernias are most often repaired with a special patch material which strengthens the muscles of the abdominal wall; this makes it more difficult for the hernia to recur.

    In women, a different type of hernia called a femoral hernia, is also common. This hernia shows up as a lump on the thigh close to the femoral pulse (the femoral artery) near the groin skin crease. These hernias occur due to the natural weakness of the muscles around the artery as it exits the body and enters the leg. These hernias can be particularly difficult to repair. A special type of patch is necessary to cover up this tear in the muscles.

    Umbilical or belly button hernias are also very common. They occur from a natural weakness in the muscles from the umbilical cord (where the umbilical cord attached to our own blood vessels when were just infants). These hernias can be very painful, but rarely are they so large that bowel or intestine becomes trapped here. Often fat tissue from inside the abdomen gets trapped in these hernias making them painful. Like the inguinal hernias, these are repaired with a patch.

    Most of these hernias are repaired in outpatient surgery. The patient is sedated heavily and local anesthesia is used. Some patients worry (before the surgery) that they will "feel" the surgery because they are not "asleep". But don't worry, the anesthesia works very well. You will be unaware of the surgery, but you will be wide awake when the surgeon is done and able to go home!

    Following repair of the hernia, you may need to take some time off of work. This depends upon the type of hernia and upon the nature of your work. In general, it is a good idea to avoid heavy lifting over 20 pounds for several weeks after the repair.

    ...more information on hernia surgery

    Inguinal hernia surgery

    415 Jefferson Street North   •   Tri-County Hospital   •   Wadena, Minnesota