A ventral hernia is defined by a protrusion through the anterior abdominal wall fascia. These defects can be categorized as spontaneous or acquired or by their location on the abdominal wall.
Specific types of hernias:
Varies, depending on the specific type of hernia you have. In summary umbilical, epi and hypogastric hernias are repaired with the traditional “open” approach. Moreover, incisional hernias Dr. Rosales prefers to repair them, in almost every case, by the laparoscopic approach. The mesh (prosthetic material) used (if required) depends on the specific situation.
In infants are congenital and are quite common; they close spontaneously in most cases by the age of 2 years. Those that persist after this age are required to be repaired surgically.
In adults, this type of hernia is acquired in most cases; there are more common in women and in patients with any condition that results in increased intra-abdominal pressure.
SIGNS AND SYMPTOMS
Generally, this type of hernias require such a small incision that laparoscopy is almost never the best option; therefore, Dr. Rosales prefers to repair them by using “open or conventional” technique.
Small defects are closed primarily; this means that no mesh (prosthetic material) is needed, the patient’s own tissues are approximated by sutures.
Defects greater than 1.6 inches (4 cm) require a “tension-free repair,” this means they are closed using a prosthetic mesh (to reduce the risk of recurrence and postoperative pain).
Epigastric hernias are two to three times more common in men. These hernias are located between the xiphoid process (just below the sternum) and umbilicus and are usually within 5 to 6 cm of the umbilicus. They are multiple in up to 20% of patients, and about 80% are just off the midline. In the vast majority of cases, the defects are small in size.
SIGNS AND SYMPTOMS
This type of hernia is also repaired by Dr. Rosales using the traditional “open or conventional” technique. Simple closure of the defect, similar to umbilical hernias; small defects can be even repaired under local anesthesia.
Uncommonly, these defects can be sizeable and contain omentum (intra-abdominal fatty tissue) or other intra-abdominal viscera and may require mesh repairs.
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