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Hernia surgery a breeze for TV outdoorsman

BY ED GORIN


Pictured are Dr. Arthur Gilber (left) 
and patient Manny Puig shortly after 
surgery at South Miami Hospital

Manny Puig lives for danger. Each week on the Animal Planet Network he faces an alligator, rides with the sharks or confronts some other undersea predator on his television program Extreme Contact.

Yet, this brave man suffered with a hernia for seven years before getting up the courage to go to a doctor.

"It kept getting bigger," says Puig, a former state champion weight lifter at Gainesville High who today can lift almost 400 pounds. "When I lifted weights I would strap myself in a jock strap and three bathing suits so my organs wouldn't pop out in my groin."

The bulge became noticeable on television and Puig's hernia became a topic of conservation among members of the production company. Company associates ­ including underwater cameraman Mark Rackley and world free diving champion Mehgan Heaney-Grier -- urged him to see a doctor. Finally, another underwater cameraman told Puig about the Hernia Institute of Florida, at 6250 SW 72 Street.

"They fixed his hernia and he was back in the water in no time," said Puig. "He said there was almost no pain."

Puig called for an appointment and met the Institute's Dr. Arthur Gilbert, who just happened to be an underwater diving enthusiast. After a thorough examination, Gilbert declared Puig to be the best physical specimen he has seen in all his years as a doctor.

"His body is amazing, inside and out," said Gilbert.  But, he noted that Puig suffered from a typical hernia, a tear in the abdominal muscle which serves as a floor for the abdominal organs. When the patient stands, one of the organs may push through the tear and it shows as a bulge in the groin. Hernias never get better by themselves, but may become larger.

"It never really hurt, but it was annoying," said Puig, who lays claim to being able to remain underwater for more than five-and-a-half minutes.

Gilbert used a new hernia repair technique that he designed and perfected called the Prolene Hernia System. Manufactured by Ethicon, a division of Johnson & Johnson, it is becoming widely used around the world.

The system utilizes a "sandwich" of two connected polypropylene mesh patches. The patches are stitched on either side of the hernia opening, creating a permanent repair. Gilbert then closes the incision with a form of superglue called Dermabond, also manufactured by Ethicon, which replaces the use of old-fashioned stitches.

"I couldn't believe it when I took a shower," said Puig. "It was as if I hadn't been cut open at all."

Immediately after the surgery Puig felt so good that he decided not to go home. Instead, his friends picked him up at the ambulatory surgery center and they went for a ride. Four days later he was back partying in the clubs.

Anxious to get back to his routine, Puig began asking the doctor when he could resume diving and weight lifting.

"There's nothing you can do to damage the repair," Gilbert told him. "You can do whatever is comfortable for you."

"That's good," said Puig, "because I was at my sister's last night and forgot I had the hernia surgery and I jumped over a wall. Everybody began yelling at me to take it easy because I just had surgery."

Gilbert says that while most patients don't recover quite as fast as Puig, the typical patient often feels well enough to go out to dinner the night after the operation and usually is back to normal activity within a week.

Puig, who lives in the Keys near Big Pine Island, is off to film the next episodes of his television program, which includes such adventure titles as Running with the Bull Sharks, Giant Grouper Adventure, Journey to the Barracuda's Lair, Snapping Turtle Adventure and Sailfish Quest.

For more information about the Hernia Institute of Florida, please call 305-667-7878.

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