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About Dr. Grischkan
Get more information about Dr. Grischkan's background with hernia surgery.

We're located in Beachwood near I-271 southeast of Cleveland, Ohio. View our map.


Inguinal Hernia Repair, Pain and Recovery

Although hernia operations are among the most common surgical procedures performed, results vary widely. Of all the types of hernias, inguinal, or groin, hernias are the most frequent. Men predominate with a 90% incidence, with women accounting for about 10% of cases. Hernias generally result from degeneration of the deep lining, or fascia, beneath the groin muscles. The intestines eventually push up to the skin surface, giving the characteristic bulge. In most cases this process starts at birth and is an inherited condition affecting patients of all age groups-from infants to seniors. Signs and symptoms associated with hernias include pain, pressure, burning or bulging in the groin as well as pain or swelling in the scrotum.

There are two ways to repair hernias-the open( like the Modified Shouldice) and laparoscopic(keyhole/minimally invasive) methods. The former utilizes an incision in the groin area, while the latter employs trocars (very thick needles with sleeves). The Modified Shouldice technique, developed by Dr. Grischkan, represents a gold standard in hernia repairs and is a tension free repair. Compared to other techniques, our repair is associated with minimal postoperative discomfort, a return to full activities in two to three days and has among the lowest failure rates. Other types of open techniques are associated with a painful recovery, lasting up to six weeks and failure rates at least six to ten times greater than our method of repair. Further, the use of large segments of nylon mesh in other methods has been associated with chronic pain in up to 40% of cases. Our incidence of moderate to severe chronic pain with the Modified Shouldice technique is about 1%.

Laparoscopic repairs are by far the most invasive, requiring a full general anesthetic and the insertion of catheters in the bladder and stomach. More important, patients are exposed to life-threatening complications, that are not generally seen with open repairs. Failure rates are actually far greater with this approach, in comparison to the Shouldice repair.

The Modified Shouldice Technique is performed using intravenous sedation with local anesthesia(twilight sleep). Our incisions are small, one to one and one half inches in length and are closed with plastic surgery, no external stitches or clamps. The technique reconstructs the groin and is reinforced with Gore-Tex mesh(never the nylon type that has been recalled). The overlying muscles are never disturbed. The entire procedure takes less than 20 minutes. Patients are discharged 30 to 45 minutes following the repair. Most patients return to work and athletics within two to three days. This includes heavy work, weightlifting, golf, martial arts, etc.

Dr. David Grischkan, our medical director, pioneered outpatient hernia surgery in the United States. He has lectured extensively both in this country and in Europe. He has published in this field and was a lead investigator in the development of a new mesh for hernia repairs. With over 15,000 hernia repairs performed, he is regarded as an authority in the field of hernia surgery.

Contact 1-800-MD4-HERN(ias) or 216-591-1422 to learn more about hernias or to request a free brochure.

Looking for hernia surgeons, hernia doctors or information about hernias? The Hernia Center of Ohio, located in suburban Cleveland, Ohio, specializes in the repair of all types of hernias, including incisional hernias, hiatal hernia treatments and inguinal hernia repairs.

Patients travel from around the world. In Northeast Ohio, we can serve patients from such communities as Beachwood, Lakewood, Mentor, Pepper Pike, Parma, Chagrin Falls, Mayfield Heights, Brecksville, Cleveland, Akron, Canton and more.