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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.
INTRODUCTION
Specific types of hernias:
TREATMENT
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
TREATMENT
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).
Epigastric hernias are two to three times more common in men. These hernias are located between the xiphoid appendix (just below the sternum) and the umbilicus and are usually 5 to 6 cm from the umbilicus. They are multiple in up to 20% of patients, and approximately 80% are outside the midline. In the vast majority of cases, the defects are small in size.
SIGNS AND SYMPTOMS
TREATMENT
This type of hernia is also repaired by Dr. Rosales using the traditional «open or conventional» technique. Simple closure of the defect, similar to umbilical hernias; small defects can even be repaired under local anesthesia.
Rarely, these defects may be considerable in size and contain omentum (intra-abdominal adipose tissue) or other intra-abdominal viscera and may require repairs with the use of mesh.
These types of hernias are so infrequent that it is not worth mentioning specific details; diagnosis, symptoms and treatment are more or less the same as for umbilical and epigastric hernias.
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info@drgabrielrosales.com
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Colonia Burócratas,
Piedras Negras, Coahuila, México. 26020
PIEDRAS NEGRAS MEDICAL CENTER