Abdominal wall hernia repair
A surgical repair of a primary or postoperative abdominal wall hernia (hernioplasty for the abdominal wall) is performed after the diagnosis of an abdominal wall hernia.
An abdominal wall hernia is a protrusion of the lining of the abdomen together with the abdominal organs through the weakened area of the abdominal wall. A constant injury to the organs in the hernia sac can lead to inflammation. Moreover, the organs can grow to the abdominal wall, and this condition needs prompt surgical management.
How Is the Surgery Performed?
An abdominal wall repair usually is performed under general or spinal anesthesia. Sometimes local anesthesia can be administered.
During the procedure, an incision is placed at the belly button. The hernia sac is separated. If the contents of sac need to be assessed, an incision can be placed to exposure the contents of the sac. If the sac contains abdominal organs (small or large intestine, omentum), their vitality is evaluated. If it is doubtful, the damaged portions of the organ can be removed additionally. The excess of the hernia sac is removed, and the edges of the hernia are closed up and sutured.
For a small defect, the edges of the hernia are directly sutured, using a double row of sutures. If the hernia is large, a special synthetic mesh will be used to repair the hernia, which according the surgical technique chosen by the surgeon can be fixed on the aponeurosis of the external oblique muscle or under the external oblique muscle.
During a consultation, the surgeon will discuss different surgical techniques for the repair of an abdominal wall hernia.
- It is allowed to drink and to eat foods that are easy to digest on the next day after the surgery;
The surgical wound should be redressed every second day; the sutures are removed after 7-10 days;
- The patient is encouraged to get out of bed on the next day after the surgery (to prevent thromboembolism);
- Deep breathing exercises should be done to improve pulmonary ventilation;
- The patient should avoid constipation.