There are three main surgical approaches to repairing a hernia. Your surgeon will choose one based on the hernia’s size, location, and your medical history:

Open Repair

:

• The surgeon makes a single, larger incision (usually several inches long) directly over the hernia.
  
• The protruding tissue is pushed back into place, and the weakened muscle is reinforced with stitches or mesh.
  
• This is often used for very large or complex hernias, or if the patient cannot undergo general anesthesia.

Laparoscopic Repair

:

• The surgeon makes several tiny "keyhole" incisions in the abdomen.
  
• A small camera (laparoscope) and specialized tools are inserted to repair the hernia from the inside.
  
• This method typically offers a faster recovery and less scarring, making it ideal for hernias on both sides of the body or recurring hernias.

Robotic Repair

:

• Similar to the laparoscopic approach, this uses small incisions and a camera.
  
• The surgeon sits at a console and controls robotic arms, which provide extreme precision and high-definition 3D views.
  
• This is frequently used for complex abdominal wall reconstructions that require meticulous suturing.

In about 90% of cases, surgeons use a surgical mesh.

• Why?

  : Imagine sewing two pieces of thin fabric together; the thread might pull through. Mesh acts like a permanent bridge or "scaffolding" that strengthens the area.
  

• Benefit

  : It significantly reduces the chance of the hernia coming back (recurrence).

While generally very safe, there are a few things to keep in mind:

• Recurrence

  : There is always a small chance (roughly 1–2% with mesh) that it could return.
  

• Chronic Pain

  : A small number of patients experience lingering nerve discomfort or "mesh awareness."
  

• General Risks

  : Infection, bleeding, or reactions to anesthesia.

Most hernia surgeries are outpatient, meaning you go home the same day.

• Days 1–3

  : You’ll be sore (like you did 1,000 sit-ups). Walking is encouraged to prevent blood clots.
  

• Week 1

  : Most people return to light desk work and can drive once they are off narcotic pain meds.
  

• Weeks 4–6

  : This is the "no-heavy-lifting" zone. You usually need to avoid anything heavier than 10–20 lbs (like a grocery bag or a small child) until your surgeon clears you.

Dr. Anthony Pozzessere combines the technical skill of a high-volume, robotic-trained surgeon with the compassionate "bedside manner" of a community-focused doctor. His practice is built on the pillars of innovation and accessibility. By focusing on minimally invasive and robotic methods, he aims to get patients back to their normal lives faster and with less discomfort. Whether you are dealing with a common inguinal hernia or a complex recurrence, his goal is to provide a repair that is both medically superior and tailored to your specific recovery goals.

Philosophy of Care

The practice emphasizes a patient-centered approach. Dr. Pozzessere views surgery as a "calling" rather than just a career, focusing on:

• Building strong patient-doctor relationships.
  
• Ensuring accessibility and attentiveness, even in emergency surgical situations.
  
• Providing thorough post-operative care to ensure long-term recovery goals are met.

Locations

Dr. Pozzessere operates out of several major medical centers in New Jersey, including:

• The Valley Hospital
  

• Pascack Medical Center
  

• Chilton Medical Center