|Discussion in 'All Categories' started by ENEJE FRANK - Apr 14th, 2012 7:55 pm.|
|protrusion noticed a month after major hernia surgeries|
re: ventral hernia by Dr M. K. Gupta - Apr 15th, 2012 3:07 am
Dr M. K. Gupta
If swelling is there after only one month of ventral hernia surgery then it may be a recurrence.
Please contact your surgeon who has performed surgery to make a diagnosis.
INCISIONAL Hernias, also often referred to as Ventral Hernias, may occur in the region associated with a prior surgical incision. These hernias can differ in size from very small to large and complex. Incisional hernias develop in as much as 11% of surgical abdominal wounds with a possible recurrence following older, conventional, suture-only type repairs as high as 44%. These hernias most commonly develop as the result of:
Disruption along or adjacent to the region of abdominal wall incision closure
Tension, positioned on the tissue due to suturing
Other inhibitors to adequate healing (infection, poor nutrition, long smoking history, obesity, or metabolic diseases)
These hernias present as a bulge, or protrusion, at or close to the part of the prior surgical incision scar. Although most commonly occurring along mid-line incisions (those incisions located between your breast bone and pubis), almost any prior abdominal operation can subsequently develop an Incisional Hernia. These include those from large abdominal procedures (intestinal surgery, vascular surgery) to small incisions (Appendectomy, or Laparoscopy). Again, these hernias can occur at any incision, but tend and to be more complex in mid-line incisions. Mid-line Incisional Hernias also have a higher regularity if repaired using a simple tissue-to-tissue or suture-only technique under tension (up to 44%). It's advised therefore, these hernias be repaired utilizing a much more effective TENSION FREE repair method using mesh.
These hernias may develop right after the original surgery, or at any time thereafter. Most however become evident within 24 months or less of the initial surgery, Incisional Hernias gradually increase in size once they develop and become a lot more symptomatic. A bulge may not be evident at the hernia site initially and pain may be the only early symptom. These hernias develop in many cases due to an excessive amount of tension placed when closing the abdominal incision, as stated above. Tension creates poor healing, swelling, wound separation and eventual Incisional Hernia formation.
Effective repair must incorporate a TENSION FREE approach to prevent the chance of recurring subsequent hernias by eliminating tissue tension. This fact is not well understood by many surgeons who repair these hernias employing a simple tissue-to-tissue, suture only technique. Examination with a trained Hernia Specialist might be essential to detect these hernias early on within their development, in addition to repair them properly to avoid recurrence and complications afterwards.
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