Treatments and solutions designed to bring you relief.
Hernias are caused by a disruption or opening in the fascia, or fibrous tissue, which forms the abdominal wall. By far the most common hernias develop in the abdomen, when a weakness in the abdominal wall evolves into a localized hole, or "defect", through which adipose tissue, or abdominal organs may protrude. If the contents of a hernia become trapped it is called an “incarcerated” hernia. An incarcerated hernia can become a “strangulated” hernia if the blood supply to the herniated organ becomes compromised.
Umbilical hernias account for 10% of abdominal wall hernias. Conditions that lead to increased intra-abdominal pressure and weakened fascia at the level of the umbilicus (i.e. obesity, ascites, multiple pregnancies, and large abdominal tumors) contribute to the development of umbilical hernias.
Laparoscopic repair entails inserting special instruments through tiny incisions in the abdomen through which the surgeon is able to visualize and perform the procedure. Laparoscopic repair uses mesh for reinforcement, so it has a lower recurrence rate. Plus, a smaller incision means less discomfort after surgery, little to no scarring, and a quicker return to normal activity. Many people return to work within a few days.
For open hernia repair surgery, a single incision is made over the hernia site and the contents of the hernia are placed back in their proper location within the abdomen. The defect is then repaired and usually reinforced with mesh to decrease the chance of recurrence.
Increasing numbers of patients have large or complex abdominal wall defects such as giant abdominal wall hernias or enterocutaneous fistulas where bacterial contamination is present. These generally develop from multiple previous abdominal operations and infections. To manage these complex hernias, component separation is one option for surgical repair. Component separation involves separating and advancing certain layers of the abdominal wall muscle, lengthening them so that the right and left sided muscles can be brought closer to the mid-line for sufficient closure. This technique restores the structural and functional integrity of the abdominal wall and aesthetic appearance. Component separation is a complex procedure that is best done in the hands of experienced surgeons.