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Laparoscopic Ventral Hernia Repair

What is a ventral hernia?

When a ventral hernia occurs, it usually arises in the abdominal wall where a previous surgical incision was made. In this area the abdominal muscles have weakened; this results in a bulge or a tear. In the same way that an inner tube pushes through a damaged tire, the inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a balloon-like sac. This can allow a loop of intestines or other abdominal contents to push into the sac. If the abdominal contents get stuck within the sac, they can become trapped or “incarcerated.” This could lead to potentially serious problems that might require emergency surgery.

Laparoscopic Ventral Hernia Repait may be right for you!

Approximately 350,000-500,000 ventral hernia repairs are performed each year in the United States. Many are performed by the conventional “open” method. Some are performed laparoscopically. If your surgeon has recommended a laparoscopic repair, this brochure can help you understand what a hernia is and more about the treatment.

Who is a good candidate for a Laparoscopic ventral Hernia repair?

Do you have a protruding bulge under your skin? Do you feel pain in that area when you cough or lift heavy objects?  Do you experience a sharp or dull pain throughout the day?  If so, you may have a ventral hernia,  and this may be the procedure for you to become pain free!

What is a laparoscopic ventral hernia repair?

Laparoscopic ventral hernia repair is a minimally invasive technique that uses small incisions (keyhole) and thin (chopstick) camera and instruments to fix tears or openings in the abdominal wall. The camera (laparoscopes – small telescopes inserted into the abdomen) and a patch (screen or mesh) to reinforce the abdominal wall.

How does the procedure work?

The surgeon makes three to five small cuts in your lower belly. Next, a medical device called a laparoscope is inserted through one of the cuts. The scope is a thin, lighted tube with a camera on the end which allows the surgeon see inside your belly. Your surgeon will make a surgical cut in your abdomen. Your surgeon will the locate the hernia and separate it from the surrounding tissue. Then your surgeon will gently push the contents of the intestine back into the abdomen. The surgeon will only cut the intestines if they have been damaged. Strong stitches will be used to repair the hole or weak spot caused by the hernia. Your surgeon may also lay a piece of mesh over the weak area to make it stronger. While the mesh may reduce the risk of the hernia coming back, it is optional. Please discuss the risks and benefits of using a mesh with your surgeon.

What Happens if the Ventral Hernia Repair Cannot Be Performed or Completed by the Laparoscopic Method?

In a small number of patients the laparoscopic method cannot be performed. Factors that may increase the possibility of choosing or converting to the “open” procedure may include obesity, a history of prior abdominal surgery causing dense scar tissue, inability to visualize organs or bleeding problems during the operation.

How long does it take to recover?

Due to the laparoscopic (small incisions) technique used, recovery time is tremendously shortened! Most people are able to walk an hour after surgery. Furthermore, you will probably be able to get back to your normal activities within two weeks.

Patient instructions

Patient information

How long do the results last?

This procedure is meant to be a permanent solution. However, patient compliance is key to your success! It is impossible to guarantee the outcome of any procedure as it depends on numerous factors.

What are the benefits of associated with this procedure?

A major benefit to using this technique is that you will be able to return to your daily activities much faster!

What are the alternatives of this procedure?

Open repair of an hernia requires larger incision, is less expensive, may involve more pain and longer recovery.

Robotic repair of an hernia also uses small incisions, a robotic tool helps to simplify the technique especially for complex hernias. It is more expensive, may involve less pain and shorter recovery.

What are the risks associated with this procedure?

This procedure is considered to be generally safe. Complications are uncommon.

Is this procedure painful?

During the procedure you will not feel any pain due to the general anesthesia. However, after the surgery you can expect some soreness mostly during the first 24 to 48 hours. After 2 weeks, most of the soreness should have subsided.

How much does this procedure cost?

The cost of the procedure will vary due to multiple factors such as use of mesh, size of the hernia, precious hernia repair, body weight and so on. The average self pay cost vary from $5000-7000. Call us and find out today!

If you are interested in Laparoscopic ventral hernia repair, call our office today and speak with one of our coordinators.

Need more information?
https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-ventral-hernia-repair-from-sages/

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