Incisional hernia surgery

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Incisional hernia Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Incisional hernia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Ultrasound

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Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ,Assistant Editor-in-Chief: Soumya Sachdeva

Overview

Surgery

Surgical treatment is necessary if the hernia causes discomfort to the patient, if there is danger of impending obstruction or if the defect is narrow.

  1. Anatomical Repair - All the anatomical layers are closed one after another by using non absorbable suture material.
  2. Mesh Repair - Best repair in obese, multiparous female patients. A mesh is placed in the peritoneal sac and covered by rectus muscles. Tensionfree non absorbable suture materials are used. Prolene mesh or marlex mesh is commonly used.
  3. Laproscopic mesh repair - Procedure of choice today. Recovery is fast and recurrence is very low.

References