A hernia is a defect in the integrity of the abdominal wall. As a result, contents such as fat, bowel or other organs can become trapped within the hernia.
Inguinal hernias are located within the groin region. There are four potential hernias that can arise in this area: direct, indirect, femoral, and obturator hernias. The evolution of laparoscopic hernia surgery allows all four hernias to be repaired simultaneously.
There has been some controversy regarding mesh placement during inguinal and abdominal wall hernia surgery. This controversy primarily stems from the inappropriate use of mesh within the abdominal cavity, where bowel contact with the mesh can cause complications. However, during a hernia repair, the mesh does not come into contact with the bowel, making the procedure very safe.
A hernia becomes a surgical emergency when bowel is trapped within the hernia orifice, as this can lead to bowel ischemia and perforation. If this occurs, you must seek immediate medical attention at the emergency department.
Symptoms
Abdominal Wall Hernia
Abdominal wall hernias refer to several types, including epigastric, umbilical/ventral, spigelian, incisional, and lumbar hernias. Patients commonly notice a bulge through the abdominal wall, which is characteristic of this type of hernia. The bulge or lump becomes more visible with activities that increase intra-abdominal pressure, such as coughing, straining, or lifting.
Repair of the hernia depends on its size and location. The primary goal is to restore abdominal wall function. Smaller hernias can be repaired with sutures, while larger hernias may require abdominal wall reconstruction for a durable and functional repair.
Reinforcement with mesh is often necessary to provide a scaffold for collagen deposition, which strengthens the abdominal wall. In some cases, larger hernias may require the use of Botox to relax the abdominal muscles and facilitate successful reconstruction and repair.
Dr. Petrushnko is experienced in performing complex abdominal wall reconstructions and works closely with you to optimize your functional status for the best possible outcome.
Symptoms
Risk Factors
