Ventral Hernia




What is a ventral hernia?
image004A ventral hernia arises in the front of the abdomen, where the abdominal muscles have weakened, resulting in a bulge or a tear. In the same way that an inner tube pushes through a damaged tire, the inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a balloon-like sac. This can allow a loop of intestines or other abdominal contents to push into the sac. If the abdominal contents get stuck within the sac, they can become trapped or “incarcerated.” This could lead to potentially serious problems that might require emergency surgery. A hernia does not get better over time, nor will it go away by itself.

How do I know if I have a ventral hernia?
A hernia is usually recognized as a bulge under your skin. Occasionally, it causes no discomfort at all, but you may feel pain when you lift heavy objects, cough, and strain during urination or bowel movements or with prolonged standing or sitting. The discomfort may be sharp or a dull ache that gets worse towards the end of the day. Any continuous or severe discomfort, redness, nausea or vomiting associated with the bulge are signs that the hernia may be entrapped or strangulated. These symptoms are cause for concern and immediate contact of a surgeon is recommended.
What are the advantages of a laparoscopic repair?

image005Results may vary depending on the type of procedure and each patient’s overall condition. Common advantages may include:

• Less post-operative pain
• Tiny skin incisions
• Shortened hospital stay
• Quicker return to normal activity

Not all hernias should be performed laparoscopically. Sometimes the strongest hernia repair comes from an open surgery method where some of the abdominal wall muscles are freed up from attachments and approximated over the hernia defect and a mesh is often overlaid for additional repair strength.

We repair hernias in both open and laparoscopic methods, both with and without a mesh, both with and without muscle separation. Operating on thousands of obese patients over the last 13 years has also taught us how to safely perform laparoscopic procedures on patients who can often be more challenging.

What should I expect after surgery?
Patients are encouraged to engage in light activity while at home after surgery.
Post-operative discomfort is mild to moderate, and pain medication is given.
Most patients are able to get back to their normal activities in a short period of time.

If you require a hernia repair, feel free to ask Dr. Mehta about your options.

Have questions about this procedure? Ask us now:

We accept all major insurances if you have appropriate benefits, offer financing, and can make surgery affordable for those who choose to self-pay.

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