Name of the Procedure:

Repair recurrent incisional or ventral hernia; reducible
Common names: Hernia repair surgery, Incisional hernia repair, Ventral hernia repair

Summary

The procedure involves the surgical repair of a recurrent incisional or ventral hernia. A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. This surgery aims to reduce the hernia back into place and repair the defect.

Purpose

This procedure addresses a recurrent incisional or ventral hernia, which can cause discomfort, pain, and other complications. The primary goal is to restore the integrity of the abdominal wall, relieve symptoms, and prevent further recurrence or complications.

Indications

• Persistent bulge in the abdomen
• Pain or discomfort at the site of the hernia
• Previous hernia repair with recurrence
• Difficulty with daily activities due to the hernia
• Physical examination confirming a reducible hernia

Preparation

• Fast for at least 8 hours before the procedure
• Adjust or stop certain medications as advised by your doctor
• Undergo preoperative assessments such as blood tests, imaging studies, and a physical examination

Procedure Description

1. The patient will be administered general anesthesia.
2. An incision is made at the site of the hernia.
3. The herniated tissue is gently reduced back into the abdominal cavity.
4. The defect in the abdominal wall is repaired, often using a mesh to reinforce the area.
5. The incision is closed with sutures, staples, or surgical glue.
6. Sterile dressings are applied to the wound site.

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity of the hernia.

Setting

This procedure is usually performed in a hospital or a surgical center.

Personnel

• Surgeon
• Surgical nurses
• Anesthesiologist
• Surgical technologist

Risks and Complications

Common risks:

• Infection
• Bleeding
• Pain at the incision site
• Recurrence of the hernia

Rare risks:

• Damage to surrounding organs
• Anesthesia complications
• Blood clots
• Adhesions or scar tissue formation

Benefits

• Relief from discomfort and pain
• Recovery of daily activities and physical function
• Lower risk of hernia recurrence with proper repair
• Improved quality of life

Recovery

• Hospital stay of 1 to 3 days, depending on individual recovery
• Follow post-operative care instructions, including wound care
• Avoid heavy lifting or strenuous activities for several weeks
• Attend follow-up appointments to monitor healing

Alternatives

• Watchful waiting for asymptomatic or minimally symptomatic hernias
• Non-invasive treatments like wearing a supportive truss or binder
• Open hernia repair without mesh

Patient Experience

Patients may experience some pain and discomfort at the surgical site, which can be managed with prescribed pain medication. It is essential to follow the recovery plan, including avoiding strenuous activities, to ensure proper healing. Most patients can return to normal activities within a few weeks, with complete recovery taking several months.