General Abdominal

Ventral Hernia Repair

Ventral hernia repair

As with any treatment for a ventral hernia, it begins with a discussion with your doctor about the best course of action to deal with your specific problem.

Traditionally this surgery is performed using a single large incision or “open” procedure. However, as the technology has advanced, more and more are being performed using minimally invasive procedures (with small incisions), which may provide important advantages during your recovery.

Here are the two options surgeons have for ventral hernia repair:

Generally in an “open” ventral hernia repair, the surgeon:

  • Makes an incision through skin, muscle, and protective tissue in your abdomen at the site of the hernia. The size of the incision depends on the size of the hernia.
  • Dissects the hernia sac free and removes adhesions.
  • Pushes the contents of the hernia into place.
  • Sometimes places artificial mesh over the hernia, and then binds the abdominal wall to the mesh.
  • Closes the incision with sutures or surgical staples.

In a minimally invasive ventral hernia repair, the surgeon:

  • Makes several ¾-inch incisions apart from the hernia.
  • Inflates your abdomen with air or carbon dioxide.
  • Inserts a miniature camera called a laparoscope into your abdomen through one of the incisions, and watches the images on a video monitor.
  • Dissects the hernia sac free and removes adhesions.
  • Uses advanced, long-handled instruments inserted through the other incisions to pull the organs back into proper position, and then reinforces the abdominal wall with artificial mesh from underneath.
  • Closes each small incision with sutures.
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