Since 1956 Valley Health Winchester Surgical Clinic has provided our region with exceptional surgical care. The general surgeons at Valley Health Winchester Surgical Clinic are experienced in many fields including disorders of the breast, endocrine system, and gastrointestinal systems.

They bring to the table many years of experience in both traditional surgical methods and the latest noninvasive laparoscopic surgical techniques. All of our surgeons are Assistant Clinical Professors of Surgery for the Virginia Commonwealth University and as such, dedicate their time to train, teach and help develop future general surgeons.

When major surgery is needed, you can depend on these physicians to have the best training, experience and skills needed to perform colon/rectal surgery, gallbladder, hernia, vascular access, skin grafts, laparotomies, appendectomies, thyroid and parathyroid surgeries, as well as breast surgeries.

Physicians wishing to refer patients to Valley Health Winchester Surgical Clinic should contact Susan Stewart, New Patient Referral Coordinator, at 540-536-0130, ext. 70772, or email sstewar@valleyhealthlink.com.

For your convenience, we participate with most insurance companies. Because of the cost of billing, it is important that the appropriate co-payments be made by you at the time of your visit. We do accept most major credit cards. Valley Physician Enterprise billing office handles all insurance claim filing, billing and is available to answer any questions you may have at (540) 536-3321.

• Charles E. Hyre, MD
• Jorge L. Posadas, MD
• Fadi Makari, MD
• Kelley M. Jewett, NP

We provide the following services in-office:

• Wound Care
• Ultrasound thyroid/breast
• Ultrasound vein mapping
• Mole Removal
• Breast biopsy - when indicated
• Excision cysts/lipomas
• Hemorrhoidal banding
• Incision & drainage subcutaneous skin infections
• Incision & drainage of thrombosed hemorroids
• Simple laceration repairs
• Removal of skin lesions

What is a hernia?

A hernia is a full thickness defect or hole in the strong layer of the abdominal wall called the fascia.

Where do hernias commonly occur?

• At the navel, referred to as umbilical hernia
• In the groin on either side referred to as inguinal hernia
• Anywhere along the abdominal wall referred to as ventral hernia
• At sites of prior surgery referred to as incisional hernia

What goes into the hernia defect or hole?

Most commonly fat from the abdominal wall or from inside of the abdomen protrudes into the hernia. In some cases, the small intestine or the colon protrudes into the hernia.

What are the signs and symptoms of a hernia?

A hernia could be without any symptoms, it could present as a bulge or an area of swelling, it could also present with pain which could range from mild to severe. Rarely a hernia presents as an emergency requiring immediate surgical treatment, for example when the small intestine or colon is stuck (incarcerated) in the hernia causing a bowel blockage, or causing compromise of the bowel (strangulation).

What are the options for hernia repair?

The surgeons at Winchester Surgical Clinic specialize in different techniques of hernia repair. The technique chosen for the final repair is tailored towards each patient, taking into consideration the type of hernia, the patient’s prior medical history, the patient’s prior history of surgical interventions and the patient’s preference.

• Open hernia surgery uses a cut or incision over the site of the hernia, the hernia could be repaired with or without the use of a screen (mesh) as a form of reinforcement depending on the specific condition.
• Minimally invasive surgery involves the use of three to four small cuts, each measuring 5 to 8 mm, to allow the introduction of a camera and surgical instruments to repair the hernia from inside the abdomen, Winchester Surgical Clinic surgeons sometimes use the DaVinci Xi robot cutting edge technology as a tool to repair your hernia with the goal of minimizing pain and tailoring each repair to the specific needs of the patient.

How do you schedule an appointment for consultation with Winchester Surgical Hernia Clinic?

You can either be referred by your primary care provider, or you can contact our clinic directly and make an appointment with one of our specialists. Our friendly staff will do their best to get you seen in a timely manner.

• Our office phone number is: 540-536-0130
• Our office hours are: Monday to Friday 8:00 am to 4:30 pm

How do you prepare for your office visit?

Please make sure you bring with you to the office visit, all media (CD with images on it and printed reports if available) containing ultrasounds, X-rays and/or CT scans pertaining to your hernia condition.

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