Boston Hernia is disrupting the traditional healthcare model with personalized attention, better patient outcomes, fewer complications, shorter recovery times and a dramatically lower cost of care.
“I started Boston Hernia because I was dissatisfied with the outcomes my patients were getting with traditional methods.
By focusing on this one area, our team makes certain each patient gets the best possible outcome, the highest level of service and experiences the fastest recovery possible.”
Founded in 2001 by Dr. Michael Reinhorn, Boston Hernia is a specialty center focused exclusively on the diagnosis, treatment, repair, and recovery of hernias. Over more than 21 years working with hernia sufferers, Dr. Reinhorn recognized that traditional surgical solutions too often result in long recovery times, high levels of acute post-operative pain, and unacceptable rates of long-term pain and disability. He recruited and trained a dedicated team which is successfully using The Boston Hernia Method to virtually eliminate chronic pain for thousands and reduce opioid use to nearly zero.
December 18, 2022
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BOSTON – A recently published study in Hernia, a leading peer-reviewed medical journal, confirmed that a disruptive hernia procedure could improve patient outcomes. The analysis compared the Transrectus Preperitoneal (TREPP) approach, modified by Boston-based surgeon Dr. Michael Reinhorn, and Minimally Invasive (MIS) approaches, which are more traditional procedures that are currently recommended by international guidelines. TREPP involves open preperitoneal repair and MIS involves laparoscopic and robotic transabdominal preperitoneal repair. The results found that TREPP was associated with decreased postoperative pain, lower opioid use and better quality of life as reported by patients.
One primary difference between TREPP and MIS repair is the choice of anesthetic. In particular, general anesthesia is required for MIS procedures while local anesthesia can often be used for a TREPP procedure. The study’s researchers hypothesized that these procedures would have similar outcomes but that open preperitoneal repairs could benefit patients by avoiding general anesthesia. For example, TREPP patients had reduced rates of urinary retention compared to MIS patients which may be related to the use of general anesthesia and may result in increased hospital stays.
To conduct the analysis, researchers used the Abdominal Core Health Quality Collaborative, a national registry of short- and long-term hernia-specific data. It includes patient reported outcomes for the purpose of improving surgical quality and value. Their data set was drawn from 25,975 patients who underwent inguinal hernia repair between August 2012 and December 2021. From this data, they matched 816 patients in the TREPP cohort with 816 patients in the MIS cohort.
“Because 1 in 30 patients are injured by a ‘routine’ standard of care, I was determined to find a solution to this problem,” said Dr. Michael (Micki) Reinhorn. “Over the last two decades, I refined a procedure that has nearly eliminated chronic pain in surgery patients. In fact, only 1 in 1,000 of our patients experience pain complications.
He added, “The current mindset values technology over patients’ wellbeing and rising costs. We value quality of patient care and outcomes. However, not only does our procedure prevent complications like chronic pain and produce the highest quality of hernia repair, our procedure also costs less.
We already had the evidence through our patient experience that what we do is better. This peer-reviewed study simply independently verifies what we knew.”
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Dr. Michael (Micki) Reinhorn is a board-certified surgeon specializing ambulatory hernia and pilonidal surgery. He is the co-founder of Boston Hernia based in Wellesley, Massachusetts, and pioneered a new minimally invasive hernia repair surgery that allows a faster recovery and less reliance on opioids.
Dr. Nora Fullington is a board-certified general surgeon specializing in minimally invasive ambulatory hernia and gallbladder surgery. She is a surgeon at Boston Hernia based in Wellesley, Massachusetts.
Lauren Ott is a physician assistant who has expertise in ambulatory hernia surgery. She is the co-founder of Boston Hernia based in Wellesley, Massachusetts.