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Medindia » Surgical Procedures » Incisional Hernias - Open Surgical Repair

Incisional Hernias

Written by Dr. Anitha Paderla | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond)

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Incisional Hernias - Open Surgical Repair

Open Surgical repair is the preferred surgical technique for Incisional hernias.

Different types of anesthesia can be provided for the hernia repair. These include local anesthesia, spinal or epidural anesthesia or general anesthesia.

During the surgery

The patient lies on the operating table, either flat on the back or on the side, depending on the location of the hernia.
General anesthesia is usually given, though some patients may have local or regional anesthesia, depending on the location of the hernia and complexity of the repair.
A catheter may be inserted into the bladder to remove urine and decompress the bladder.
If the hernia is near the stomach, a gastric (nose or mouth to stomach) tube may be inserted to decompress the stomach.

The abdomen and groin are prepared with an antibacterial solution.
An incision is made about the length of the lump that is present.
The tissue layers are divided until the weakness in the abdominal wall is identified.
The contents of the hernia are pushed back into the abdomen.
The tissue around the defect is dissected to find good, strong, healthy tissue, known as fascia. The fascia is the gristly layer that provides the strength to your abdominal wall.
The defect is then closed, either by suturing together the good strong tissue on either side of the hole or by applying a synthetic mesh across it to patch the hole.

Following the repair, the layers of tissue are brought back together with sutures.
The skin is closed with stainless steel staples, dissolvable sutures or non-dissolvable sutures. Occasionally, a small amount of skin is also removed to leave a better cosmetic result.

<< Incisional Hernias-Synthetic mesh

Incisional Hernias - Laparoscopic Surgical Repair >>

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Comments

murugu123, India

i am 54 years lady at present i have an incisional Hernia, 4 years back i had undergone operation uterus removing whether immediate surgery is required but i don't have any pain

Sarahsue, United States

10 days Post op from ingiunal repair recurrence and femoral hernia repair (same side). Cement Twinkie at the surgery site. Anyone? I am a 42 y/o female.

Marc_Twain, United States

My 73 yr old mother needs umbilical hernia repair. Skeptical about medical procedures, she is put it off til it is bigger. Does not like idea of Biologic implants. What is safest mesh material to use? Or, in general, which mesh material has the least complications / lawsuits ? Polypropylene, polyester,...what ? Thank you for any anticipated answer.

Squeeker, United States

I am scheduled to have a rather large Incisional Hernia repaired, because it is such a large hernia my surgeon has recommended using MESH. I have heard a lot of negative things regarding MESH and do not know which Mesh would be the safest to use. Do you have some suggestions on which MESH would be best?
I did express my concerns to my surgeon but there was no recommendation. Also I was told that if you could have a Cosmetic Surgeon join in with your Surgeon you may have much better results. Is this true?

akab66, Ghana

Hi also had umbilical hernia repair surgery 2 months ago and am experiencing burning sensation and pain around the incision. I am passing gas frequently and feel tired often. Have had issues with bloating and pain in the upper part of my stomach for some time and have been told there may be some adhesions. Its just a pity the Doctors do not tell you much about the recovery process and they make you think the surgery is just a simple procedure.

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