Hernia repairs are common. Larger hernias often require the repositioning of the rectus abdominus muscles to place the muscles back into anatomic position. When the rectus muscles are relocated this can often prevent the use of mesh to repair the hernia. In some cases mesh is necessary in addition to repositioning of the abdominal musculature. In patients with previous abdominal…
Hernia repairs are common. Often the hernis can be exposed through a lower abdominal incision. The lower abdominal incision is similar to an incision used in a standard abdominoplasty or “tummy tuck” operation. The lower abdominal incision gives access to the entire abdominal wall up toward the ribcage. Any mesh that is placed in a central defect is not located…
Hernias a common. They can occur from a defect at birth or can be from a previous surgery. The goal when repairing hernias is to restore the abdominal wall to its normal state of anatomy. Often, this coincides with normal muscle function. Hernias that protrude through the rectus muscle are often best repaired by separating the components of the rectus…
Abdominal Wall Hernias are common. The hernias can occur after previous surgery. Common causes of umbilical hernias are congenital defects or from previous laparoscopic surgery. Larger hernias can occur from previous incisions. Hernias can often be repaired from a lower abdominal incision. Smaller hernias can be repaired primarily by approximating the edges of the hernia. Larger hernias require release of…
Abdominal wall hernias are common. A hernia can occur from a congential defect or it can occur from a previous surgery. When the hernia increases in size, the abdominal contents can protrude through the abdominal wall. This can be painful to the patient. Ocassionally, this can cause an obstruction or abdominal symptoms. When the hernia is repaired, the muscles are…
Abdominal wall reconstruction can be a common procedure after many different types of abdominal surgery. One of the more important components of abdominal wall reconstruction is to recreate a dynamic abdominal wall so that the musculoaponeurotic system of the trunk can serve its purpose. By bringing the rectus muscles back toward the midline of the abdomen, the intraabdominal pressure can…
Abdominal Wall Reconstruction and Hernia Repair: It is quite common for patients to have undergone a previous umbilical hernia repair and have a recurrence of their hernia. Also, patients can have a history of a previous surgical operation that results in an abdominal or “incisional” hernia. Typically, when patients have a hernia that recurs, it is often required to restore…
In order to repair multiple hernias of the abdominal wall, for example midline hernias and hernias related to colostomy or ileostomy procedures a large exposure is needed to properly perform a repair. Often the previous multiple incisions can be incorporated and included into one wound to obviate or prevent complications from wound breakdown. Further, massive hernias of the abdominal wall…
Incisional hernias can occur after surgery on the abdominal wall. Often a recurrent hernia needs to be repaired differently to prevent the recurrence of the hernia again. Just as important are patient factors that need to be controlled such as weight, protein intake, and cessation of smoking if the patient is a smoker. If there are multiple hernias of the…
