Ventral hernias are a kind of abdominal hernia. They will develop as a defect at birth, resulting from incomplete closure of a part of the abdominal wall, or develop where an incision was created during an abdominal surgery, occurring when the incision does not heal properly.
Ventral hernias cause a bulge or lump within the abdomen, that increases in size over time. In some cases, the lump could disappear when you lie down, and then re-emerge or enlarge when you place pressure on your abdomen, like when you stand, or elevate or push something heavy.
When tissue inside the hernia stuck in abdominal muscle, it will cause pain, nausea, vomiting and constipation.
In rare cases, this could cause a dangerous condition “strangulation,” which needs emergency surgery. This happens when the blood supply to the herniated bowel is interrupt or greatly reduced, making the bowel tissue to die. Apart from this, other symptoms of a strangulation include severe abdominal pain, profuse sweating, speedy heartbeat, severe nausea, vomiting and high fever.
Ventral hernias can be treated by surgery only. Without proper treatment, most hernias can increase in size.
In this approach, surgeons use a laparoscope, a small telescope with a tv camera attached, to view the hernia from the inside. The laparoscope is placed inside a tube, which is inserted into the abdomen through a small incision.
In most cases, three or four incisions are created in to abdomen to insert the cannula, instruments used to remove any scar tissue and mesh. Surgeon put mesh inside the abdominal muscles rather than between the muscles. Surgical tacks or sutures keeps it on its place.
This procedure is done using general anesthesia. Bladder catheterization is needed.
Benefit of Laparoscopic Ventral Hernia Repair
Results could vary depending on the kind of procedure and overall condition of patients. Common advantages are:
- Less pain after surgery
- Shortened stay in hospital
- Faster return to normal diet
- Quickly resume normal activity
- Less wound infections