An incisional hernia can emerge in the scar tissue of the previous surgery that performed in the abdominal region from the breastbone down to the groin. Depending on the area where the surgery in the past was performed, the related organs in that area may be trapped into the weak abdominal wall. An incisional hernia that appears as a bulge in the trapped area can develop after months even after a year of previous surgery. Tension on the abdominal wall during initial incision leaves the tissues of the area vulnerable that increases the threat of pressure in that area due to the lifting of heavyweight, constipation and chronic cough causing the hernia. Most hernia grows over time and surgery is the option to resolve the problem.
What is incisional hernia repair?
Incisional hernia repair is a surgical method executed to rectify an incisional hernia. The bulge or protrusion that occurs at a near place or along the previous abdominal surgical area generally arises as a matter of tension (pulling in opposite direction) created after the prior incision was closed with sutures or by any other means that increases abdominal pressure. Men, women, and children of any age may develop an incisional hernia after abdominal surgery, though occurs more commonly among the adults than the children.
The surgical repair depends on removing tension from the surgical wound. The tension-free incisional hernia repair necessitates permanent arrangement of prosthetic steel or polypropylene mesh patches beyond the edges of the weak abdominal wall. Surgeon sewed the mesh, bridged the whole or weakened region beneath it. The mesh gets firmly integrated into the peritoneum, the inner abdominal wall membrane and protects the organs in the abdomen. This procedure creates no tension or very little tension and recovery become faster with less pain and as well as a lower rate of hernia recurrence. To prevent recurrence of a hernia, staples are used instead of sutures to secure mesh in the abdominal wall. Autogenous tissue, the skins of the patient’s own body is also used for such repair.
How is incisional hernia repair performed?
Two surgical approaches that are used to operate an incisional hernia: one is laparoscopic incisional herniorrhaphy that uses tiny incision and a tube-like instrument along with a camera to its tip, and another one is conventional open repair process. An open process is needed if part of the intestine has been trapped in a hernia. Extremely obese patients are also needed open surgery for a deeper layer of fat tissues. Mesh is used in both type surgeries.
How to prepare a patient for incisional hernia repair surgery?
To confirm a hernia an ultrasound examination or computer to0mography (CT) may require performing to visualize an actual hernia by the surgeon. A patient is required to have a standard blood and urine tests prior to surgery. An electrocardiogram and chest x-ray have to be done to ensure that major organs like heart and lung are functioning properly. Diabetic patients should have to follow proper medicine as prescribed to control the sugar level.
What is the aftercare for incisional hernia repair?
Immediate after surgery patient will keep for an observation that the body is functioning well. Generally, a patient is discharged with pain medication and anti-inflammatory drugs. Routine follow-up is necessary after one week of surgery.