An incisional hernia is an outward bulge of tissue or organs that occurs specifically in areas that have been injured or weakened by surgery. Other serious accidents and injuries can also cause incisional hernias that are non-surgical. Depending on where these hernias occur, they could result in intestinal issues. we offer proven herniorrhaphy options that will help our patients resolve hernia issues quickly.
An incisional hernia is a type of hernia caused by a poorly healed surgical wound. An incisional hernia can be large and painful. An incisional hernia can occur after surgery in the belly and can develop months or even years after surgery. Incisional hernia can occur in the setting of previous surgical incision with increased age with laxity in the abdominal wall, increased abdominal pressure (ex: increased weight, chronic severe coughs, chronic constipations, etc), and previous wound infections.
Overall time to recovery and pain after surgery is also significantly decreased with the laparoscopic method. For inguinal hernia, laparoscopic hernia repair has some benefit in regards to post-operative recovery and pain and provides better cosmesis. The rate of chronic pain problems after surgery is less with laparoscopic hernia repair than open repair.
SURGERY FOR VENTRAL / INCISIONAL HERNIA
Laparoscopic hernia repair is the gold standard and treatment of choice for abdominal wall (umbilical, epigastric, incisional) hernia. In this procedure, multiple small holes (3–4) are made in the abdomen depending on the site and size of hernia. A telescope is inserted through one of the holes and specialized laparoscopic instruments are used to reduce the contents under vision, thus minimizing chances of bowel injury. Internal adhesions if present are also taken down and smaller defects in incisional hernia which may be missed by clinical examination or ultrasound can be identified. A large mesh is then placed with wide circumferential coverage of the defects and fixed.
Advantages of laparoscopic ventral / incional hernia repair are less pain, better cosmesis, fast recovery & early return to work and above all reduced recurrence rates as compared to traditional open surgery.
