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Laser Surgery

Laparoscopic Ventral Hernia Surgery

Laser Vagina Tightening

Ventral hernia is a bulge in the anterior abdominal wall. It occurs as a result of a tear in the abdominal wall musculature or fascia. It is often seen in the midline between the umbilicus and the xiphoid process. Other terminologies used to describe this hernia include epigastric hernia, supraumbilical hernia, periumbilical hernia, or spigelian hernia, describing the anatomic locations of these ventral hernias. Factors resulting in a ventral hernia include excess weight, pregnancy, strenuous activities, etc. With time, contents of the abdomen protrude through the hernia as a bulge. This may result in pain, disfigurement, or sometimes incarceration and compromise of bowel.

Incisional hernia is a common type of hernia that occurs at the site a previous surgical incision. When deeper tissues within an incision fail to heal adequately, a defect or hernia is created. Factors resulting in incisional hernias include wound infection, diabetes, long-standing steroid use, excess weight, strenuous activities, etc.

Ventral and incisional hernias are challenging problems that require specialized care. Repair of ventral or incisional hernia is one of the most common procedures performed at our practice.

Due to high potential for recurrence when ventral hernias are repaired with sutures alone, these hernias are generally repaired with prosthetic mesh. The technique is called ‘tension-free’ repair. With this approach, repair of ventral or incisional hernias are extremely safe and durable. Procedures are usually performed at ambulatory surgery centers. Patients can expect to resume day-to-day activities within a few days, and strenuous activities within 4-6 weeks.

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What is Appendix?

The appendix is a narrow, small, finger-shaped portion of the large intestine that is generally situated near junction of small and large intestine (Cecum) on lower right side of the abdomen.

Appendicitis

Appendicitis is a sudden inflammation of the appendix. Although the appendix does not seem to serve any purpose, it can become diseased and, if untreated, can burst, causing infection and could be even fatal.

SYMPTOMS OF VENTRAL HERNIAS

Common symptoms of ventral hernias include pain, nausea, vomiting, a bulge and difficulty passing gas, stools or urine. Pain can range from discomfort to severe sharp pain and is commonly worse during long walks, prolonged standing or sitting and lifting heavy objects. Swelling can occur in the bulged area and may increase when coughing or straining. Some people feel no symptoms at all. However, it is important to have a hernia checked out by a specialist. If a hernia becomes trapped, it can lead to a strangulated or obstructed hernia that requires emergency medical treatment.

Treatment for Ventral Hernias

Treatment options include:

Observation – After consultation with your surgeon, minor asymptomatic hernias may be observed if there are no concerning features.

Elective hernia repair – If the hernia is causing significant symptoms your surgeon may recommend hernia repair on a non-emergent basis.

Emergent hernia repair – If there are signs of bowel stuck within the hernia this may require emergent repair as the blood flow to the bowel may become compromised.

Surgical approaches include:

Laparoscopic hernia repair – This is done with several small incisions and a laparoscopic telescope is used to visualize the hernia defect. Using this minimally invasive approach the hernia is repaired from the inside.

Open hernia repair – This is done by making a small incision directly over the hernia. The hernia defect is then closed with a combination of suture material and mesh.

Robot-assisted hernia repair – The robotic approach to hernia surgery utilizes small incisions similar to the laparoscopic approach. Hernias that are unable to be repaired laparoscopically may be amenable to repair with a minimally invasive approach using the robotic platform.