Complex Hernia Repair
A hernia occurs when an organ breaks through the muscular tissue that holds it in place due to some sort of weakness or hole, and they most commonly occur in the abdominal cavity. The most obvious symptom of a hernia is a bulge against the skin, often accompanied by pain. Hernias occur due to vulnerabilities in muscles that can arise from a variety of different reasons including:
- Heavy strain – sports, weights, excessive coughing, difficult bowel movements
A hernia can be completely harmless and people may have them for some time without even knowing they are there. A hernia is considered complex if:
- There have been multiple failed attempts to repair a hernia
- It is associated with an infection
- It is abnormally large
- It has caused severe damage to the abdominal wall
These hernias are surgically complex because each operation has the potential to cause further damage to the site of injury, increasing the likelihood of recurrence.
To schedule a consultation with an experienced surgeon in that specializes in complex hernia repair, call (470) 419-4380 or contact us online.
Complex Hernia Repair Surgery
If you are suffering from a complex hernia, your healthcare provider or doctor will likely suggest surgery in order to provide you sustained relief. Your surgery will not only repair the hernia but also work to restructure the abdominal wall to prevent future recurrences by reinforcing it with surgical mesh, patches or plugs. This can be accomplished through open or laparoscopic hernia surgery.
In both open and laparoscopic hernia repair surgery, general or local anesthesia is administered. Your hernia surgeon will have you lie on the operating table, either on your back or side, depending upon the location of the recurrent hernia.
In an open complex hernia repair surgery, your surgeon will make a single abdominal incision (3 to 6 inches) so that he or she can stitch and close the hernia and use mesh reinforcement to strengthen the abdominal wall. You will likely have non-absorbable stiches that will be removed by your healthcare provider once healed (1-2 weeks).
A laparoscopic repair is a minimally-invasive approach to correct a complex hernia. It requires 2-4 tiny abdominal incisions as opposed to the one long incision used during open surgery. Utilizing small surgical instruments and cameras, this procedure similarly corrects the complex hernia as the open surgery does, but the surgeon uses a video monitor to conduct the repair and guide the placement of the surgical mesh.
With either surgery, most are able to return home the same day. Overnight stays are usually only required for more serious cases in which the intestines are strangulated.
Complex Hernia Repair Recovery
It is important to keep the site of your hernia repair clean after surgery, and to report any abnormalities such as swelling or redness to your healthcare provider immediately. For the first 2 weeks, activity should be limited. Heavy lifting and other strenuous activity should be avoided for the first 6 weeks.
Those who undergo a laparoscopic procedure tend to heal faster than those who undergo an open surgery due to smaller incision sites and reduced instances of wound complications. As with any surgical procedure, there are risks. Your healthcare provider will discuss these with you in detail. The most common risks of a complex hernia repair include infection, injury to nearby organs and fluid leaks in the abdomen.
Complex hernias present challenges due to the level of vulnerability of the organ. Discuss your surgical options with your healthcare provider or doctor to determine if complex hernia repair is right for you. Call (470) 419-4380 or contact us online.