Treatment
Traditional "open" repair of incisional hernias can be quite difficult and complicated operations. The weakened tissue of the abdominal wall is re-incised and a repair is reinforced using a prosthetic mesh. Complications frequently occur because of the large size of the incision required to perform this surgery. These are primarily wound complications such as infection of the incision. Unfortunately, a mesh infection after this type of hernia repair most frequently requires a complete removal of the mesh and ultimately results in surgical failure. In addition, large incisions required for open repair are commonly associated with significant postoperative pain.
Laparoscopic incisional hernia repair is a new method of surgery for this condition. The operation is performed using surgical telescopes and specialized instruments. The surgical mesh is placed into the abdomen underneath the abdominal muscles through small incisions to the side of the hernia. In this manner, the weakened tissue of the original hernia is never re-incised to perform the repair and one can minimize the potential for wound complications such as infections. In addition, performance of the operation through smaller incisions can make the operation less painful and recovery quicker. Laparoscopic repair has been demonstrated to be safe and a more resilient repair than open incisional hernia repair.
Read more about this topic: Incisional Hernia
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