UMBILICAL, EPIGASTRIC AND HYPOGASTRIC
A ventral hernia is defined by a bulge through the fascia of the anterior abdominal wall. These defects can be classified as spontaneous or acquired or by their location in the abdominal wall.
Specific types of hernias:
It varies, depending on the specific type of hernia you have. In summary, umbilical, epi and hypogastric hernias are repaired with the traditional «open» approach. And incisional hernias, Dr. Rosales prefers to repair them, in almost all cases, by the laparoscopic approach. The mesh (prosthetic material) used (if required) depends on the specific case.
In children they are congenital and are quite common; they close spontaneously in most cases by the age of 2 years. Those that persist after this age must be surgically repaired.
In adults, this type of hernia is acquired in most cases, they are more common in women and in patients with any condition that produces an increase in intra-abdominal pressure.
SIGNS AND SYMPTOMS
In general, this type of hernia requires such a small incision that laparoscopy is almost never the best option, therefore, Dr. Rosales prefers to repair them by using the «open or conventional» technique.
Small defects are closed primarily, which means that no mesh (prosthetic material) is needed, the patient’s tissues are approximated by sutures.
Defects larger than 4 cm (1.6 inches) require a «tension-free repair», meaning that they are closed with a prosthetic mesh (to reduce the risk of recurrence and postoperative pain).
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