Treatment of hernias of the anterior abdominal wall
Surgical removal of pathological protrusion of internal organs through weak spots in the muscle tissue of the abdominal wall.
A hernia of the anterior abdominal wall occurs when abdominal organs exit through weak areas in the abdominal wall, moving under the skin or into subcutaneous adipose tissue. This can occur in the area of the inguinal canals, the umbilical ring, or the white line of the abdomen.
The main factor in the development of a hernia is weakness of the muscles and tissues of the abdominal wall, which may be congenital or acquired due to increased intra—abdominal pressure. If the hernia is not treated on time, it can increase in size and become more complicated. Gradually, the symptoms worsen, and there is a need for emergency surgery.
General blood and urine tests Biochemical blood analysis Ultrasound examination (ultrasound) of the abdominal cavity Electrocardiogram (ECG) Consultations with specialized specialists, including an anesthesiologist.
Two main methods are used to treat hernias of the anterior abdominal wall: open hernioplasty and laparoscopic hernioplasty. With open hernioplasty, the surgeon makes an incision in the hernia area, extracts organs from the hernial sac and returns them to the abdominal cavity. Laparoscopy is considered a less traumatic treatment method. The doctor makes small incisions through which he inserts surgical instruments and a camera. The surgeon then returns the organs to the abdominal cavity and strengthens the wall with a mesh. The time of the operation depends on the complexity of the case, but on average it takes 1-2 hours.
Laparoscope and endoscopic equipment (with laparoscopic method) Special surgical instruments for suturing and mesh installation Mesh implant to strengthen the abdominal wall.
After surgery, the patient is recommended to minimize physical activity during the first 2-4 weeks. To reduce the load on the abdominal wall, it may be recommended to wear a supportive bandage. During the rehabilitation period, weight lifting should be avoided and the doctor's recommendations for recovery should be followed. Full recovery takes from 4 to 6 weeks, after which the patient can return to normal life.
Benefits
Minimal injury
Laparoscopy reduces postoperative pain and accelerates healing.
Low risk of recurrence
The installation of a synthetic mesh strengthens the abdominal wall and reduces the risk of recurrence of hernia.
Fast recovery
Patients can return to daily life within a few weeks after surgery.
Cosmetic effect
Small punctures instead of large incisions leave minimal scars.
Frequently Asked Questions
What is the risk of a hernia recurrence?
Can laparoscopy be used for all types of hernias?
What complications can occur if a hernia is not treated?
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Candidate of Medical Sciences. General Surgeon
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