What Is Complex Incisional Hernia Repair?

Incisional hernias refer to hernias that occur after a previous hernia repair surgery. After hernia repair sometimes the site of the incision will be much weaker than the surrounding tissue and abdominal tissue will begin to protrude from the incision site. Factors that may increase one’s chances of developing an incisional hernia are weak abdominal muscle, moving too quickly after surgery, obesity. Incisional hernias are common amongst people who have had hernia repair surgery and can be hard to treat.

What Are The Treatment Options?

Surgeons may opt to perform an ‘open surgery’ to repair the complex incisional hernia. Surgeons will make a lateral cut on the abdomen and abdominal muscles and expose the hernia sac. They will open the hernia sac to reveal the herniated tissue underneath. Because the abdomen is filled with blood vessels and nerves, surgeons must be careful when operating in this region of the body. Using cauterizing tools, blood vessels are clapped or burned in order to reduce bleeding

A specialized mesh material is then placed underneath the abdominal muscles and sewn in to create a sturdy structure underneath the muscle to safeguard against future herniation. The abdominal muscles are sown back together and the incision in the abdomen is sewn closed.

What Happens After Surgery?

After surgery, it is vital that patients keep their incision wounds clean so as to stave off infection. Immediately after surgery, patients should reduce their movement so as to not risk breaking a stitch or herniation.

Why Laparoscopic Surgery?

Complex Incisional Hernia repair can also be performed laparoscopically, which is a minimally invasive option with a shorter recovery time compared to traditional surgery. Surgeons use small cuts in the abdomen to insert specialized tools and a camera that can target specific herniated tissue.

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