Ventral Hernia

About Mesh

There is currently some anxiety when the word mesh is used.  Mesh has been used for ventral hernia repair for several decades now.  It is absolutely the standard of care to prevent recurrence.  With a mesh repair the recurrence rate is usually around 1-5%.  Traditional non mesh repairs are mostly of historical interest only and they carried a roughly 50% recurrence rate.  Using the robotic approach, mesh is covered with the body's own tissue to prevent any mesh issues

Surgery

Hernias can be repaired via an open approach, or in a minimally invasive approach with the daVinci robotic platform.

Diagnosis

Diagnosis of an inguinal hernia is usually through medical history and physical examination.

Abdominal ultrasound or CT scan can be helpful for hernias that cannot be felt on physical exam.  

Symptoms

  • Pain or discomfort to abdominal area

  • Bulge in the abdominal wall

  • Bulge may enlarge in size or pain may increase when lifting, sneezing, coughing, straining

  • Fullness or pressure in the abdominal wall

Definition

A hernia occurs when an organ or fat tissue protrudes through a weakened area of the peritoneum of the abdominal wall. This area can create a bulge and pain or discomfort. A ventral or incisional hernia occurs in the abdominal wall at a point of weakness sometimes congenital or sometimes related to a prior incision.  
The contents of the hernia may get stuck (incarcerated) through the abdominal wall and cannot be pushed back into the abdomen. The incarcerated hernia can then lead to strangulation, which can cut off blood flow to the tissue or intestines that is stuck. This can be life threatening if not treated immediately.

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