Hernia Repair Specialist

Andrew Bower, MD, FACS -  - General Surgeon

Northeast Oregon Surgical Clinic

Andrew Bower, MD, FACS

General Surgeon & Laproscopic Surgeon located in Pendleton, OR

A hernia is a lump in your abdomen or groin, or near an old surgical incision site that may or may not be painful. At Northeast Oregon Surgical Clinic, Andrew Bower, MD, FACS, provides expert surgical hernia repairs. You should always seek medical attention and treatment for hernias to prevent complications like strangulation. Call or schedule your appointment online today.

Hernia Repair Q & A

What is a hernia?

A hernia is a condition in which the tissue or organs inside a body cavity push through a break in the membrane that lines the inside of the body cavity. A small hernia may not cause any symptoms or pain, but if a hernia bulges, it can put pressure on your blood vessels and restrict your circulation.

There are several different types of hernias.


Inguinal hernias develop in your groin. Approximately 75% of all hernias are inguinal, and they are more common in men than women. In most cases, inguinal hernias are caused by being overweight, lifting heavy objects, or a combination of a weak spot in your abdominal wall and increased pressure from strenuous activities, straining during bowel movements, or even a chronic cough.

Inguinal hernias are either direct or indirect. Indirect inguinal hernias follow the same path as the testicles during fetal development and can cause a bulge in your scrotum. Direct inguinal hernias are usually located on the inside of an indirect inguinal hernia site, a naturally weak spot in your abdominal wall.


An umbilical hernia develops when the umbilical site doesn’t close completely during a child’s infancy. Even if the umbilical site closes, it remains an area of weakness in your abdominal wall. Umbilical hernias are more common in children and pregnant women. Umbilical hernias aren’t usually painful.


Incisional hernias develop when you have surgery, usually in your abdomen, which creates a weak spot in your abdominal wall. Incisional hernias are rare, accounting for less than 10% of all hernia diagnoses.

What causes hernias?

Hernias result from a combination of weakness in your abdominal walls and excess pressure. The fragility could be the result of a congenital failure to close, getting older, prior damage or surgery, or chronic coughing.

Your risk of developing a hernia increases if you are:

  • Overweight
  • Chronically constipated
  • Lifting heavy objects frequently
  • Pregnant

If you have a family history of hernias, your chances of developing a hernia are higher.

How do you treat hernias?

Dr. Bower repairs hernias surgically. Whenever possible, he uses minimally invasive laparoscopic surgery to access the hernia and seal the hole in your abdominal wall. He frequently places a piece of surgical mesh over the weak spot to provide additional support and prevent the hernia from recurring.

If you’re concerned about a hernia or have a hernia that isn’t responding to lifestyle modifications and medical treatment, call or schedule a consultation with Dr. Bower to learn about your surgical hernia repair options.

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