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Hernias

A hernia is an abnormal opening or defect  in the abdominal wall that could be acquired or genetically predisposed.  The name given to a hernia is dependent on the location. Although there are many different types of hernias, the principle used to repair them is the same. As you can see in the picture above, these are the most common hernias seen and their approximate locations.

The principles of hernia repair are basically the repair of the opening in a tension free fashion. In the past the only means to do this was by stitching the opening with sutures primarily. For the last 50+ years hernia repair has been enhanced by the use of mesh. Mesh has been one of the most important developments in hernia repair and has made it possible to repair defects that were virtually impossible to fix in the past without undue tension.  Although in recent years the use of mesh ah been attacked by some, mesh is still a necessary tool used in the repair of virtually all hernias. when used appropriately the risks as minimal.

Tension is avoided since it will be a big determining factor when predicting recurrence of the hernia. The use of mesh is responsible for the low recurrence rates we see today in most hernia repairs. It is important that a surgery is taylored to the specific patient needs and type of hernia as well as the type of mesh used. There are many choices of meshes as one might imagine. At Lugo surgical we always try to limit our choices to proven methods and products that yield the best results possible. We are not swayed by the marketing tools used by large companies unless there is scientific evidence to prove them.

As there are many meshes, there are also a variety of procures and ways to repair a hernia an the choice will be dependent on the location and mechanism of the hernia. Minimally invasive surgery is utilized as long as we do not compromise the results and recurrence rates. Again, this is discussed with each patient in a one on one fashion and very personal way.

Hernia Types

Ventral -Generic name for a hernia in at the abdominal wall

Inguinal - Hernia located in the groin

Incisional - Hernia located in a location where a previous surgery was done

Umbilical - Hernia located around o at the umbilicus

Hernia surgery is not exempt from complications, but we are able to minimize these with the newer techniques and equipment we have at our disposal.

Some of the most common risks are, bleeding, infection, recurrence, bowel injury, need for more surgery, numbness, pain, need for more surgery and surrounding organ or structure injury. 

MESHES USED

Ventral Hernia - Bard ECHO

Inguinal hernia - ETHICON PHS