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Incisional/Ventral
Hernia
An
Incisional hernia is a defect that develops at the site of a prior
surgical incision. A ventral hernia, such as an umbilical hernia, is
a congenital defect that is present since birth. Both types of
hernias can increase in size with time.
A hernia is a bulge or a tear in the area where the abdominal
muscles have weakened. The bulge that is felt is when part of the
organ of the abdomen, usually the intestine or the colon, protrudes
through a weak point or tear in the thin muscular wall that holds
the abdominal organs in place.
What are the symptoms of a hernia?
An incisional hernia causes a bulge in the abdominal area. Although
it may be painless, hernias usually cause some pain or discomfort.
Additionally, symptoms such as bloating, nausea, and constipation
may result from a hernia. The symptoms of a hernia can be worsened
by physical strain, such as lifting heavy objects, coughing, or
straining during bowel movements. The bulge may disappear when lying
down, and be more visible when standing up. If there is a persistent
bulge that does not relax, or the symptoms of pain or nausea persist
then you should contact your physician immediately.
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How is a laparoscopic ventral hernia repair
performed?
Using small instruments and a specialized camera the hernia is
repaired. A few small incisions about 1/4 inch in length are made to
repair the hernia. The number of incisions will depend on the amount
of scar tissueinside the abdomen. A mesh is placed over the prior
hernia defect site and fixed to the fascia (strong connective
tissue) of the abdomen wall. The mesh is placed inside the abdomen
and usually can not be felt from the outside.
What are the
advantages of the laparoscopic approach?
Laparoscopic surgery has multiple advantages over traditional open
surgery including less pain, much smaller scars, earlier recovery,
shorter hospital stay quicker return to work and less adhesions.
Many patients having laparoscopic surgery go home the same day
without any stay in the hospital.
Single Port Access surgery has
additional advantages. Patients who undergo SPA surgery report
minimal pain, even faster return to normal activity and a nearly
scarless cosmetic result."
For more information on laparoscopic and single port access surgery
or to schedule an appointment, please
contact us for an appointment.
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