Abdominal Wall Reconstruction in Rockville, MD

Robotic reconstruction for complex, recurrent, and previously failed hernia repairs. This is fellowship-trained expertise for the cases that other practices turn away. Procedures performed at Suburban Hospital in Bethesda, part of Johns Hopkins Medicine.

Schedule a Consultation Call (301) 215-0127

Same-day and next-day appointments available. Walk-ins welcome.

Hernia Recurrence Rate

Complication Rate

Same-Day or Next-Day Discharge

Opioid-Free Recovery

If Your Hernia Repair Failed, You Are in the Right Place

A routine hernia repair closes a single weak spot. When a repair has already failed, when the defect is large or recurrent, or when prior mesh is causing problems, the abdominal wall itself has to be rebuilt rather than patched again. That is a different operation, and it calls for a different level of training.

Reconstruction is one of the main reasons this practice exists. We take on the complex and revision cases that other surgeons refer out, and we plan each one with CT imaging and robotic precision so the repair is built to hold.

Schedule a Consultation Call (301) 215-0127

Why Patients Come to Us for Reconstruction

Two things matter most when a previous repair has failed: the surgeon’s experience and the plan behind the operation. We built our reconstruction program around both.

Expertise in the Hard Cases

Complex and revision reconstruction is a core focus here, not an occasional add-on. We routinely take recurrent hernias, loss of domain, and mesh complications that other surgeons send elsewhere.

A Plan Before the Operating Room

Every reconstruction begins with CT imaging of the abdomen and pelvis, read as a surgical blueprint. We map the defect, the muscle quality, and any prior mesh before we operate, so there are fewer surprises in surgery.

Built to Hold

Using component separation and posterior reconstruction, we restore the abdominal wall to its natural alignment instead of forcing it closed. Recurrence in our complex cases runs in the low single digits.

Conditions We Treat

If your situation is on this list, you are exactly who this program is built for.

Recurrent hernias after one or more prior repairs
Large ventral, incisional, and parastomal hernias
Complex incisional hernias with heavy scar tissue
Diastasis recti with functional or structural symptoms
Abdominal wall defects from trauma or prior surgery
Mesh complications: migration, infection, chronic pain, or erosion

We accept most major insurance plans, including Aetna, BlueCross BlueShield, CareFirst, Cigna, Medicare, TriCare, and UnitedHealthcare. Cash payment options are also available.

How We Rebuild the Abdominal Wall

Every reconstruction is mapped out before the operating room. These are the core techniques behind most complex repairs we perform.

CT-Guided Planning

We image the abdomen and pelvis and read the scan like a blueprint: defect size, muscle quality, prior mesh position, and scar tissue. The approach is decided before we begin.

Component Separation

We release the natural planes between the muscle layers so the abdominal wall comes back together without tension, restoring its alignment instead of forcing it closed.

Mesh Removal and Revision

When prior mesh is the problem, we plan its removal carefully around scar tissue and altered anatomy, then rebuild the wall and reinforce it in a protected layer.

See a Reconstruction Journey

Watch how a complex repair is planned and rebuilt, and see real before-and-after results.

Before and after abdominal wall reconstruction surgery

Watch This Patient’s Journey Schedule a Consultation

Frequently Asked Questions

A hernia repair closes a single defect. Reconstruction restores the whole abdominal wall: re-establishing the anatomy, rebuilding strength across several layers, and reinforcing the structure so it holds long term. It is the right step when the problem is broader than one weak spot.

Recurrence usually comes from several factors at once: hernia size, tissue quality, how the prior repair was done, mesh choice and position, and the patient’s own biology. Redo surgery takes advanced training and real experience with scar tissue and altered anatomy.

In our experience with complex and revision cases, recurrence is in the low single-digit range, approximately 3 to 4 percent in appropriately selected patients. That is in line with the published literature for robotic abdominal wall reconstruction.

Not every mesh needs to come out. When removal is necessary, it is technically demanding because prior surgery leaves scar tissue and altered anatomy. We plan each step in advance with imaging, dissect carefully, and rebuild the wall afterward, staging the work when that is the safest path.

Yes. We accept most major plans, including Aetna, BlueCross BlueShield and CareFirst, Cigna, Medicare, TriCare, and UnitedHealthcare, and cash payment options are available. Same-day and next-day appointments are available, and most patients are seen within 24 hours of reaching out.

Get a Second Opinion From a Reconstruction Specialist

If you have been told your hernia is too complex or your last repair failed, bring us your records and imaging. We will review your case and give you an honest plan.

Schedule a Consultation Call (301) 215-0127

Same-day and next-day appointments available. Walk-ins welcome.

EliteCare Surgical Specialists

3200 Tower Oaks Boulevard, Suite 140, Rockville, MD 20852
(301) 215-0127

The information on this page is for general educational purposes only and is not medical advice. It does not establish a doctor-patient relationship and is not a substitute for consultation with a qualified surgeon. Individual results vary, and no specific outcome is promised or guaranteed.