Recurrent Hernia Repair by Dr. Iraniha Recurrent Hernia Repair is a topic that affects many individuals who have previously undergone with a hernia repair. If you’ve noticed an abdominal bulge following your surgery or are experiencing discomfort, this video is tailored for you. First, let’s clarify what a hernia actually is. A hernia occurs when…
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Recovery After my new Dri Tuck cosmetic surgery procedure by Dr. Iraniha Dri Tuck Cosmetic Surgery. The Dri Tuck cosmetic surgery procedure is a combo laparoscopic repair of diastasis recti and a mini mini tuck, typically lasting about two and a half hours under anesthesia. After the laparoscopic surgery, patients will spend approximately an hour…
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Recovery after modified tummy tuck surgery by Dr. Iraniha Tummy tuck surgery. The modified tummy Tuck procedure typically takes about two and a half hours under anesthesia. After the Tummy Tuck surgery, patients will spend approximately one hour in the recovery room at our Orange County Cosmetic Procedures, before heading home. It is essential to…
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Recovery after Laparoscopic Repair of Diastasis Recti or muscle separation. Diastasis Recti Repair and Recovery. Laparoscopic repair of diastasis recti typically takes about 1 hour and 15 minutes under anesthesia. After the Laparoscopic surgery , patients will spend about an hour in the recovery room before going home. After the Laparoscopic surgery, someone needs to…
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Are you considering traveling for cosmetic surgery? Here are your options. Traveling For Cosmetic Surgery and Cosmetic Surgery Tourism. In this video we will discuss the process for those considering traveling for cosmetic surgery for laparoscopic repair of diastasis recti in Orange County CA and other different cosmetic surgeries procedures we offer. The first step…
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Is there a minimally invasive surgical procedure for repairing the Diastasis Recti in men? Diastasis Recti in Men. In this video we are going to dive into a topic that might not get a lot of attention but is incredibly important for many men out there – diastasis recti. You might have heard about this…
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What can happen if you leave Diastasis Recti Untreated? Diastasis Recti Untreated. First, let’s define diastasis recti. The rectus abdominis muscles, commonly known as the “six-pack” muscles, are two large parallel muscles located in the center of the abdomen. They are covered by a thick sheet of fascia and connected to each other at the…
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The Mini Mini Tuck also known as “Dri Tuck” The Mini Mini Tuck also known as “Dri Tuck” represents a groundbreaking advancement in minimally invasive surgery techniques designed to address diastasis recti, tighten the abdominal wall, and remove excess skin. This innovative procedure is particularly effective when combined with laparoscopic surgery repair of diastasis recti.…
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Diastasis Recti in Men by Dr. Iraniha Introduction Diastasis Recti in Men. Diastasis recti or separation of the abdominal muscles is a condition that many people associate primarily with women, especially during and after pregnancy. Dr Iraniha Expert in Diastasis Recti will focus on men and exploring how this condition affects them, its prevalence, causes,…
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Introduction to a New Minimally Invasive Surgery to Repair the Diastasis Recti and how it differs from the traditional tummy tuck surgery Diastasis Recti. In this video I’m sharing my journey in developing a new, minimally invasive surgery procedure to repair diastasis recti and tighten the abdomen. I’d like to discuss what inspired me to…
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How does the Diastasis Recti affect your core strength? Diastasis Recti. For a long time diagnosis of this condition was considered harmless but in this video I’d like to share with you how the Diastasis recti affects your core strength. First let’s define the condition. There are two large parallel muscles in the center of…
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What is Diastasis Recti and how is it diagnosed Diastasis Recti. There are two large parallel muscles in the center of the abdomen called rectus muscles or six pack muscles which are covered with a thick sheet of fascia and connected to each other in the center. Diastasis recti is a condition where this connection…
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Innovative approach for Hernia Repair with a Tummy Tuck Surgery Revolutionize Your Hernia Repair with a Tummy Tuck Surgery! Are you dealing with the discomfort of an abdominal wall hernia and concern about the aesthetic results of traditional hernia repair and a need for mesh placement? If the answer is yes , then I’d like…
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Tummy Tuck Surgery for Hernia Repair by Dr. Iraniha Tummy Tuck Surgery Are you struggling with an abdominal wall hernia that’s causing pain or discomfort, especially during physical activity? Have you been told that hernia repair is your only option, but you’re concerned about the aesthetic outcome? Well, there’s a transformational solution you might not…
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Who is the best candidate for new minimally invasive laparoscopic repair of Diastasis Recti? New minimally invasive laparoscopic repair of Diastasis Recti. This video discuses the ideal candidate for a new minimally invasive laparoscopic procedure designed to repair of Diastasis Recti, which is only done at Surgical Oasis institute in Newport Beach, California. In this…
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Tummy tuck and drain placement Tummy tuck and drain placement. If you are considering tummy tuck surgery, Understanding the procedure and the role of drains is crucial. When undergoing a tummy tuck surgery in Orange County at our surgery center, an incision is made in the lower abdomen, allowing the skin to be separated from…
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Dr Iraniha Tummy Tuck Surgery Recovery Tummy Tuck Surgery Recovery. In this video, Dr. Andrew Iraniha shares his insights on Tummy Tuck Surgery Recovery. Whether you’re considering this procedure or have recently undergone tummy tuck surgery, this video is aimed at providing you with the guidance and support you need during this critical phase. Before…
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Dr Iraniha Introducing an innovative minimally invasive alternative for tummy tuck surgery A Minimally Invasive Alternative to Tummy Tuck Surgery In this video, Dr. Iraniha presents a groundbreaking surgical procedure that offers a unique and innovative alternative to traditional tummy tuck surgery. If you or someone you know has been considering tummy tuck surgery, then…
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Introducing a new alternative for tummy tuck surgery by Dr. Iraniha Introducing a new alternative for tummy tuck surgery. I’m Dr. Andrew iraniha and in this video, I’d like to discuss about my unique minimally invasive surgical procedure for repairing Diastasis recti and tightening the abdominal wall as an alternative for tummy tuck surgery. If…
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Why some people develop wide and unsightly scar after tummy tuck surgery? Tummy tuck surgery. There are many reasons as why some people develop wide and unsightly scar after tummy tuck surgery. Those reasons are as follow: 1: Tension on the Incision. One of the main factors that can contribute to scar widening is excessive…
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What is the difference between open surgery and laparoscopic surgery? By Dr. Iraniha Laparoscopic surgery. When it comes to surgical procedures, there are two commonly used techniques of open vs minimally invasive surgery. They have distinct characteristics and benefits. Open surgery, also known as traditional or conventional surgery, is the traditional approach that has been…
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Dr. Iraniha What is liposuction? Liposuction is a surgical technique designed to remove excess fat deposits from specific areas of the body, helping to reshape and contour your figure. It’s ideal for individuals who are at a stable weight but struggle with localized fat that just won’t budge through diet and exercise alone. So, where…
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Tummy tuck surgery for hernia repair by Dr. Iraniha Tummy tuck surgery. There is a lifetime transformation available for patients with abdominal wall hernias. When it comes to hernia repair most surgeons focus on repairing the hernia and address the functional and anatomical abnormality and in majority of cases there is a very little attention…
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What are the surgical options to repair the Diastasis Recti? Repair the Diastasis Recti – There are several surgical options for repairing the Diastasis recti. The most common surgical procedure is called tummy tuck or also known as abdominoplasty. During a tummy tuck surgery, the surgeon makes an incision in the lower abdomen. Then separates…
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What are the non-surgical options for managing Diastasis recti? Diastasis recti condition. There are a few non-surgical options for managing the Diastasis recti, although their effectiveness may vary depending on the severity of the condition. One of the most common non-surgical options is physical therapy. A physical therapist can teach specific exercises like pelvic tilts,…
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Is Diastasis recti a medical condition? Yes, Diastasis recti is a medical condition in which the midline abdominal muscles called rectus muscles or six pack muscles separate from each other and the connective tissue that holds them together stretches. It is most commonly seen in pregnant and postpartum women, but can also occur in men…
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What is the difference between diastasis recti and abdominal wall hernia? Diastasis recti and abdominal wall hernia are two common conditions that affect the abdominal region. While they may share some similarities, they are actually quite different in terms of their causes, symptoms, and treatment options said Dr Iraniha hernia repair expert . Diastasis recti,…
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Can you have other cosmetic procedures with laparoscopic repair of Diastasis recti? Diastasis recti is a common condition that occurs when the anterior abdominal muscles separate during pregnancy or due to obesity or other factors. Laparoscopic repair of diastasis recti is a new minimally invasive surgical procedure to restore anatomical location of the anterior abdominal…
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How do I know if I have diastasis recti? Diastasis recti is a condition in which the right and left rectus muscles separate from each other, resulting in a gap or bulge in the midline of the abdomen. Rectus muscles are two vertical abdominal wall muscles that are located in the front and center of…
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New minimally invasive procedure to repair diastasis recti by Dr. Iraniha Repair diastasis recti – Diastasis recti is a separation of midline abdominal wall muscles called rectus muscles (six pack muscles). This anatomical abnormality usually happens after pregnancy but it is also associated with obesity. Patients usually present with abdominal wall bulge without any pain,…
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Dr. Iraniha Difference between Mini and Full Tummy Tuck Recovery Tummy Tuck Recovery. Full Abdominoplasty or tummy tuck is one of the many different techniques for tightening of the abdominal wall muscles and removing of the excess skin. In this procedure, the skin is separated off the muscles through an incision in the bikini line…
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How is the tummy tuck recovery procedure by Dr. Iraniha Tummy tuck recovery procedures. Abdominoplasty or tummy tuck is one of the many different techniques for tightening of the abdominal wall muscles and removing the loose skin. In this Tummy Tuck procedure, the abdominal wall laxity and associated hernia or diastasis recti would be repaired…
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Dr. Iraniha tummy tuck surgery in abdominal wall hernia repair Tummy tuck surgery. Is there a role for tummy tuck surgery in abdominal wall hernia repair? Tummy tuck surgery – Abdominal wall hernia is a defect in the abdominal wall muscle and usually presents with abdominal wall bulge with on and off pain and discomfort…
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Dr Iraniha tummy tuck surgical technique to repair the abdominal wall hernia Is there any advantage to perform tummy tuck or mini tummy tuck surgery for repairing the abdominal wall hernia? Abdominal wall hernia is a defect in the abdominal wall muscles. It sually presents with abdominal wall bulge with on and off pain and…
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Should we repair the Diastasis Recti? By Dr. Iraniha Diastasis Recti “The relationship between Diastasis recti and hernia”Diastasis recti is a separation of midline abdominal wall muscles called rectus muscles (six pack muscles). This anatomical abnormality usually happens after pregnancy but it is also associated with obesity. Patients usually present with abdominal wall bulge without…
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Is it reasonable to repair the abdominal wall hernia without mesh? Mesh placement in abdominal wall hernia surgery is a hot and controversial topic. There are some reported issues with using the mesh in hernia repair surgery and patients always wonder if it’s reasonable to repair the abdominal wall hernia without using mesh. Mesh is…
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Dr. Iraniha inguinal hernia repair without mesh Dr. Iraniha inguinal hernia repair without mesh. Inguinal ( groin) hernia is a weakness or defect in the groin region. Inguinal hernia is a very common problem and around 27% of men and 3% of women could develop groin hernia at some point in their lives. Some patients…
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Dr. Iraniha Minimally invasive inguinal hernia repair Minimally invasive inguinal hernia repair. Hernia is a very common problem in the world and hernia repair Surgery is one of the most common surgical procedures in United States. Abdominal wall hernia is a weakness or defect in the abdominal wall musculature which could present with abdominal wall…
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Dr Iraniha Redo Mini Tummy Tuck and Excision of Pseudo Bursa This video clip demonstrates Dr. Iraniha technique for redo mini tummy tuck and excision of pseudo bursa. This gentleman had a tummy tuck with liposuction and heat more than two years ago by another surgeon. Unfortunately patient developed significant lumpy bumpy deformities with firm,…
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Dr. Iraniha Laparoscopic repair of diastasis recti by Dr. Iraniha Diastasis recti or diastasis of Rectus muscles is an extremely common condition specially in young female after multiple pregnancies when the anterior abdominal wall muscles called rectus muscles have separated from each other and weakened the core muscle strength. This condition also associated with abdominal…
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Dr. Iraniha Laparoscopic bilateral inguinal hernia repair/ Inguinal hernia is a weakness or defect in the groin region. It usually presents with a bulge in the groin associated with on and off pain and discomfort specially during activity, straining and exercise. Inguinal hernia is a very common problem. Around 27% of men and 3% of…
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New technique for repairing Diastasis Recti by Dr. Iraniha Diastasis Recti or diastasis of Rectus muscles is a common condition when the anterior abdominal wall muscles called rectus muscles have separated from each other and weakened the core muscle strength. This condition also associated with abdominal wall bulge with abnormal body posture, lower back pain…
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What is Liposuction or Lipo Sculpture by Dr. Iraniha Liposuction or lipo sculpture is a very common aesthetic procedure to remove the unwanted extra fat from the skin and restore the contour of that region back to more aesthetically pleasing shape and form. Liposuction sounds like an easy procedure but it’s actually a complicated and…
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Robotic assisted bilateral inguinal hernia repair with mesh by Dr. Iraniha In the bilateral inguinal hernia repair procedure the Orange County Expert Surgeon creates multiple small incisions on the abdominal wall to insert special ports for free movement of unique surgical instruments in and out of abdominal cavity during the laparoscopic surgery. This allows the…
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What are the surgical options to repair the “diastasis recti” By Dr. Iraniha Diastasis recti means separation of rectus muscles. There are two vertical muscles located in the midline of the anterior abdominal wall (called six-pack) that act as the main anterior abdominal wall muscles. These two muscles are covered in a strong fibrous sheath…
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What is the difference between Open Surgery and Minimally Invasive Surgery by Dr. Iraniha Open Surgery Normally, surgeons need to make a big incision in the abdominal wall to enter the abdominal cavity, in order to perform any surgical tasks, including removal, repair or reconstruction of the intra-abdominal structures. This technique is called “open surgery”,…
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Laparoscopic repair of giant inguinal hernia by Dr. Iraniha This video demonstrates my technique of hernia surgery for removal of extremely large hernia sac and incarcerated fat from the hernia defect during the laparoscopic hernia repair of a giant inguinal hernia. The large hernia sac is always adhered to the main structures like testicular blood…
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What is the bowel adhesion to surgical mesh by Dr. Iraniha? How Dr. Iraniha managed this mesh complication? Surgical mesh is an implant used for repairing the hernia defect. The mesh is designed to create exaggerated scar tissue in the location of hernia defect to strengthen that region. The correct placement of the surgical mesh…
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Dr. Iraniha Laparoscopic management of gallstone ileus This is a 76 years old female patient who presented to the emergency room with severe abdominal pain, nausea and vomiting and her ct scan showed small bowel obstruction due to a large gallstone ileus that stuck in the small bowel. This rare condition is called gallstone ileus.…
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Laparoscopic resection surgery of the right colon with primary anastomosis by Dr. Iraniha This video clip demonstrates my technique for laparoscopic surgery resection of the right colon with primary anastomosis. This patient presented with abdominal pain and anemia and underwent a colonoscopy and found to have a right colon mass suspicious for cancer. The mass…
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Dr. Iraniha Small bowel resection laparoscopy surgery This video clip demonstrates my technique for laparoscopic surgery resection of a rare small bowel gastrointestinal stromal tumor (GIST). This video was a 48 years old male who presented to the emergency room with severe abdominal pain for one day and his ct scan showed a large tumor…
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What is the adhesion band and how does Dr. Iraniha release the adhesion band? The adhesion bands is the scar tissue that could develop in the abdominal cavity after any type of inflammatory process including infection, neoplasm or previous intra-abdominal surgical intervention. This scar tissue could wrap around the intestine and create bowel obstruction or…
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What is internal hernia by Dr. Iraniha Internal Hernia is essentially a defect or a hole. This defect internal hernia can be in the abdominal wall, diaphragm or pelvic wall which are called abdominal wall hernia, diaphragmatic hernia, or pelvic wall hernia, respectively. However, there is a condition called internal hernia when due to previous…
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What is incarcerated bowel? The loops of bowel are in the abdominal and pelvic cavity. They are surrounded by abdominal wall and pelvic floor where they can freely move. If there is any defect in the abdominal wall or pelvic floor (abdominal wall hernia or pelvic floor hernia) or any abnormal opening/hole inside the abdominal…
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How to perform laparoscopic bowel anastomosis surgery by Dr. Iraniha Performing bowel anastomosis Complex surgical procedures with laparoscopic technique or robotic technology have revolutionized the surgical field. They have offered the patients significant advantages such as less complications, less pain, faster recovery, less hospital stay and faster return to work. This video clip demonstrates how…
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Dr. Iraniha secured surgical mesh to abdominal wall Minimally invasive inguinal hernia repair including laparoscopic surgery and robotic surgery techniques, is the best way to repair the inguinal hernia. However, to ensure the safety of this surgery, improve the patient outcome and minimize the potential complications, the hernia repair surgeon must be precise and follow…
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Dr. Iraniha performing robotic inguinal hernia repair Inguinal hernia is one of the most common surgical problems worldwide. Inguinal hernia is essentially a defect or weakness of abdominal wall in the groin region that usually presents itself with a groin bulge with or without pain. There are two standard ways of repairing this anatomical defect,…
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How I hide the mesh behind the muscle during laparoscopic inguinal hernia repair by Dr. Iraniha Minimally invasive laparoscopic inguinal hernia repair surgery, including laparoscopic and robotic surgery techniques is the best surgical technique to repair the inguinal hernia. This procedure involves opening the inner layer of the abdominal wall called peritoneum right behind the…
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Laparoscopic repair of ruptured bladder by Dr. Iraniha This is a 65 years old male who presented to the emergency room with abdominal pain and distention and his ct scan showed urinary obstruction due to enlarged prostate with extremely distended bladder. Initially the urinary obstruction was relived with insertion of a Foley catheter and patient…
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Laparoscopic placement of a gastrostomy tube This video demonstrates my new technique for placement of a gastrostomy tube. This was a 81 years old female with recent dementia who was unable to eat and had evidence of malnutrition and therefore required a gastrostomy tube for entral feeding through stomach. Laparoscopic placement of a gastrostomy tube…
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Robotic Surgery eliminating the laparoscopic limitations. Robotic surgery has introduced a very attractive alternative for minimally invasive surgery by eliminating the laparoscopic limitations. The dual camera system allows better visualization and restores the surgeon’s depth of vision. The wristed instrumentations also allow the better access and more precise dissection especially during complex surgical procedures. The…
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What is tummy tuck or abdominoplasty by Dr. Iraniha Tummy tuck or abdominoplasty is one of the most common aesthetic procedures in united states. Patients usually present with abdominal wall bulge which happens after pregnancy or significant weight loss. This condition is usually associated with lateral abdominal wall muscle laxity, diastasis of rectus muscles and…
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Gallbladder disease is a common problem in the world and at times it is underdiagnosed or even undertreated. The gallbladder is a small structure underneath of the liver and is connected to the liver via a common channel, called common bile duct. It is responsible to store a small portion of the bile that is produced by the liver.
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This is a 55 years old male who presented with a large left groin bulge and on and off pain and discomfort during activity and exercise.
DetailsThis is 80 years old male who presented with a right groin bulge with on and off pain and discomfort. Six months prior to this visit, he underwent a right inguinal hernia repair with patch and plug technique by another surgeon.
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This question is a very controversial topic in general surgery and coming up with one right answer for all situations is impossible and incorrect. Therefore, let`s evaluate different scenarios and situations. One major rule is, that in the presence of infection whether in the area of the hernia or in the remote location, repairing of the hernia with permanent mesh is not advised.
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Abdominal wall hernia is a common surgical problem. Hernia is a defect in the abdominal wall. Therefore, the content of the abdominal cavity could potentially protrude through this defect causing an abdominal wall bulge with on and off pain and discomfort especially during activity and straining. The hernias could be congenital or acquired and could get larger and more symptomatic by time.
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This is a 61 years old male with history of multiple abdominal surgeries for placement of the gastrostomy and jejunostomy feeding tubes in the past. He recently required another feeding tube due to recurrent inability to tolerate the oral diet and significant malnutrition.
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This is a 48 years old female with history of chronic back pain on multiple pain medications, including aspirin who came into the emergency room with sudden onset of severe upper abdominal pain and found to have significant tenderness on her physical examination. Her abdominal CT scan showed free intraabdominal air and fluid, consistent with perforated viscus.
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This is a 52 years old female who presented to the emergency room with two days history of severe left lower quadrant abdominal pain, nausea, vomiting, and fever. She was found to have severe tenderness and guarding in the left lower quadrant and her abdominal CT scan showed severe sigmoid diverticulitis with micro-perforation and significant peri-colonic inflammatory changes.
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This is a 73 years old female who presented with one month history of intermittent abdominal pain and changes in her bowel habit. As part of her work-up, she underwent a colonoscopy which showed near obstructing right colon mass. The biopsy of the mass confirmed the presence of adenocarcinoma of the right colon.
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This is a 91 year old female with history of a bulge in the right groin with on and off pain and discomfort and episodic abdominal pain. She underwent a diagnostic laparoscopy which showed bilateral obturator, right femoral and inguinal hernias. Therefore, a robotic surgery assisted of her hernia repair with placement of 3 D mesh was carried out.
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Robotic surgery expert, a real believer by Dr. Iraniha It has been many years since I started robotic surgery and now after performing many robotic procedures, I have decided to share my experience and vision in regards to this approach with my patients and colleagues. I have been doing minimally invasive surgery for more than…
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Laparoscopic Management of Gallstone Ileus This is a 75 years old female who presented to the emergency room with 2 days history of generalized abdominal pain and found to have abdominal distention and generalized abdominal tenderness with her ct scan showing abnormal connection between gallbladder and first portion of duodenum called fistula as well as…
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Robotic Assisted Mini Tummy Tuck by Dr. Iraniha For the first time in Southern California and perhaps in the United States, I am presenting a Mini Tummy Tuck or mini abdominoplasty with floating umbilicus technique with Da Vinci Robotic Surgery Systems. This is a 45 years old female who after two pregnancies developed abdominal wall…
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Dr Iraniha Laparoscopic Technique for Placement of a Gastrostomy Tube This is a 61 years male patient with multiple admissions to the hospital for aspiration pneumonia due to inability to swallow. He failed swallow study and therefore required a feeding tube. An attempt for an endoscopic surgery guided percutaneous placement of the gastrostomy tube by…
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Robotic ventral hernia repair with mesh by Dr. Iraniha Robotic ventral hernia repair is a minimally invasive technique for fixing the abdominal wall hernia defect. This hernia surgery allows the surgeon to repair the hernia through four small incisions, as an outpatient basis with minimal trauma to the patient`s body. It offers the hernia surgeon…
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Robotic cholecystectomy by Dr. Iraniha Robotic cholecystectomy is a minimally invasive technique for resection of gallbladder. This gallbladder surgery allows the surgeon to remove the gallbladder through four small incision, as an outpatient basis with minimal trauma to the patient`s body. It offers the surgeon better visualization and instrumentation for more precise surgery which translates…
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Laparoscopic small bowel resection This laparoscopy surgery video demonstrates a laparoscopic small bowel resection for a patient with a small bowel neoplasm. This is a 48 years old male who presented to the emergency room with severe abdominal pain for one day and his ct scan showed a tumor coming off of his small intestine.…
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Robotic bilateral inguinal hernia repair with mesh by Dr. Iraniha Robotic inguinal hernia repair is a minimally invasive technique for fixing the groin hernia defect. This robotic hernia repair allows Dr Iraniha to repair the hernia through four small incisions, as an outpatient basis with minimal trauma to the patient`s body. It offers the hernia…
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Laparoscopic Right Colectomy This video demonstrates the Laparoscopic Right Colectomy at the right colon resection on a 66 years old, female who presented to the emergency room with severe anemia and her colonoscopy showed a large near obstructing tumor in the right colon. She underwent a laparoscopic surgery resection of her right colon with primary…
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Robotic Splenectomy by Dr. Iraniha This is a 22 years old male with history of ITP which was not responsive to conservative medical therapy and required robotic splenectomy surgery. This patient was placed in a right lateral position and 5 trochars were inserted for four robotic arms and one as an assist trochar. The robotic…
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Groin hernias in women: “an ignored diagnosis” by Dr.Iraniha Groin Hernias in women are weaknesses or defects in the groin region where the intraabdominal structures such as fat or bowel could protrude through and cause bulge and/or pain or lead to life threatening complications such as incarceration or strangulation of the bowel requiring emergent operation.…
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Laparoscopic removal of a toothpick from the large intestine by Dr Iraniha This is a 56 years old male who presented to the emergency room with three days history of persistent right lower quadrant abdominal pain, fever and an abdominal wall bulge in the right side of his abdomen.Dr Iraniha robotic surgery expert obtained a…
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This is a 32-year old male who presented with a large bulge in his right scrotum for more than a year with on and off pain and discomfort during straining and exercise and found to have a large right scrotal hernia.
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This is a 52 year old male with history of right inguinal hernia repair 10 years ago who presented with a painful bulge in the right groin. Patient underwent a robotic assisted repair of recurrent right inguinal hernia with mesh. There was an evidence of recurrent right inguinal hernia on the most medial aspect of the pervious hernia repair with incarcerated pre-peritoneal fat in the hernia defect.
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Hernia repair without using mesh by Dr. Iraniha Hernias are one of the most common anatomical problems in human species that have been reported in the human history for thousands of years. In the past, different surgical and non-surgical treatments were offered to the patients with hernias for hundreds of years but like most surgical…
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Hernia and pregnancy by Dr. Iraniha Hernia is a weakness or defect in the abdominal wall musculature which could be congenital or acquired. Any condition, such as pregnancy that increases the intraabdominal pressure repeatedly or constantly could cause or aggravate an abdominal wall hernia. The development of a hernia during pregnancy is not uncommon. Hernia…
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Robotic inguinal hernia repair, long-term quality of life & outcomes by Dr Iraniha Five years ago if someone asked my opinion about the robotic surgery, as a laparoscopic surgeon, I would say that I was extremely skeptical and saw no real value. But I am so grateful to one of the great nurses who encouraged…
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Hernias in women by Dr Iraniha When it comes to hernia discussion, most of our attention and conversations turn towards hernias in men. Of course hernias are more common in men than women but women may suffer hernia and its related complications as well. In fact, hernias in women are subject to be underdiagnosed, misdiagnosed…
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This is a 50 years old female who presented with a left groin bulge with on and off pain and discomfort during activity and exercise. Initially she was found to have left inguinal hernia on her physical examination. This video demonstrates the robotic assisted left inguinal hernia repair with mesh.
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This is a 45 years old female with history of hysterectomy in the past who presented with lower abdominal pain, abdominal distension and obstipation and found to have complete small bowel obstruction on her CT scan. She underwent a diagnostic laparoscopy which showed strangulated loop of ileum in an internal hernia created by a very tight adhesion between right side of pelvic wall and sigmoid colon.
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56 years old female who presented with two weeks history of worsening epigastric abdominal pain and her abdominal CT scan showed a sharp object penetrated through the posterior wall…
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This is a 29 years old male with long history of a large bulge in his right groin with extension to his right scrotal region who presented with on and off pain and discomfort, especially during activity and exercise and found to have a giant right scrotal inguinal hernia.
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Surgical Oasis an Orange County Surgical Center “SURGICAL OASIS” is a center of excellence for diagnosis and treatment of variety of general surgical problems. Dr. Andrew Iraniha, who is the founder of Surgical Oasis an Orange County Surgical Center, is dedicated to provide high quality surgical services in orange county and surround areas with an…
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This is a 55 years old female with BMI of 32 who presented with a large supra-umbilical bulge with on and off pain and discomfort during activity and straining and her physical examination was consistent with ventral hernia.
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This is a 67 years old male who found to have adenocarcinoma of the appendix after an appendectomy for acute appendicitis. Therefore, he required right hemi-colectomy for completion of oncological resection and staging.
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The application of Robotic assisted Trans Abdominal Pre-peritoneal “TAPP” ventral hernia repair in the obese patient population:
Conventional open hernia repair of a large incarcerated supra-umbilical ventral hernia repair in an obese patient requires a mid-line abdominal incision and creation of skin flap to reduce the incarcerated intra-abdominal structure, close the ventral hernia defect and reinforce the closure with placement of a mesh.
Technical modifications for robotic assisted TAPP inguinal hernia repair Andrew S. Iraniha, MD, FACS ABSTRACT OBJECTIVES: Laparoscopic TAPP inguinal hernia repair remains a technically challenging procedure requiring advanced laparoscopic skills with prolonged surgeon learning curve. The robotic system has the potential to overcome these challenges. However, due to cost and the length of operation, using…
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This is a 65 years old male with two months history of right lower quadrant abdominal pain whose initial CT scan showed mild enlargement of appendix suspicious for acute appendicitis. Patient was treated with conservative therapy with antibiotics and sent home.
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This is a 45 years old female with five years history of episodic upper abdominal pain whose ultrasound showed gallstones with thickened gallbladder wall , consistent with chronic cholecystitis. Initial inspection with laparoscopic technique showed chronic cholecystitis with significant thick, firm adhesion and scar tissue around the gallbladder
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Feasibility, safety, and reproducibility of robotic assisted TAPP inguinal hernia repair: a clinical report of 100 inguinal hernia repairs Andrew S. Iraniha, M.D., F.A.C.S. Newport Beach, California, USA Purpose: Conventional laparoscopic TAPP inguinal hernia repair is an established alternative to open hernia repair given equivalent outcomes and decreased post-operative pain and faster recovery. It is,…
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Gallbladder disease is a common problem in the United States and approximately 10-15 percent of the adult population have gallstones. Gallstones are more common in women, older patients, and certain ethnic groups, and are associated with multiple pregnancies, obesity, and rapid weight loss.
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Performing any abdominal surgery has the risk of developing abdominal wall hernia, called incisional hernia. The incisional hernia has many underlying reasons and could be associated with many factors, including technical issues, post-operative wound infection, obesity, Smoking, lung disease associated with cough, steroid usage, and age.
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This is a 65 year old male with history of a bulge in the left groin with on and off pain and discomfort during straining and heavy activity. Patient underwent a robotic assisted repair of inguinal hernia with placement of 3 D mesh. Patient was taken to the operating room and underwent a general anesthesia and placed in the lithotomy position.
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For a long time, repairing the ventral hernia and diastasis recti required open surgical intervention with large mid-line abdominal incision, creation of large skin flap to approximate the mid-line muscle structures and reinforce the closure with mesh. That was associated with severe post-operative pain, long recovery, large mid-line scar and more potential for wound complications.
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What is Laparoscopic? Laparoscopic surgery is performing the surgical task with special instruments and guidance of a camera through small abdominal incisions. The idea is to minimize the trauma of the surgical procedure by eliminating the large abdominal wall incision compare to conventional open surgery. By minimizing the trauma of the abdominal wall incision, we…
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I am Dr. Andrew Iraniha, Robotic, Laparoscopic, and General surgeon. I earned my medical degree from Tehran University in Iran. Then I spent 6 years of general surgery training at Harbor-UCLA and UCI Medical Center in Southern California and graduated in year 2000. Since then I have been in private practice in Orange County, California.…
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Is Biliary Dyskinesia, true or false? More than 10% of patients with gallbladder disease have negative ultrasound with no evidence of gall stones. Most of these patients suffer biliary dyskinesia and unfortunately do not get diagnosed for a long time or undergo medical management with little or no response. Biliary dyskinesia is a functional disease…
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Dr Iraniha – Laparoscopic Surgery. For many years since I started my practice in August of 2000, I have been doing advanced and complex laparoscopic procedures. Laparoscopic surgery is performing the surgical task with special instruments and guidance of a camera through small abdominal incisions. The idea is to minimize the trauma of the surgical…
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Press Release: New Healthcare System in Orange County Arrives with Surgical Oasis FOR IMMEDIATE RELEASE Contact: ANDREW S. IRANIHA, M.D., F.A.C.S. Company: SURGICAL OASIS Website: http://www.surgicaloasis.com/ Address: 496 Old Newport Blvd., Ste 2 Newport Beach, CA 92663 Email Address: info@surgicaloasis.com Tel. No.: (949) 646-8444 Fax No.: (949) 646-8388 The new health care system in Orange…
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