A hernia is present when part of an internal organ or tissue bulges through a defect or weak area in the belly wall (fascia). The type of hernia you have depends on where it is and how it occurs. Ventral Hernias are named after the location in the body they occur. A ventral hernia is a bulging of the abdominal wall anteriorly. When the hernia is located at the site of a pervious surgical scar then it is called an incisional hernia. A hernia can occur at any location of the abdominal wall however. Further information regarding incisional hernia here.
A Ventral Hernia can develop due to straining, lifting or increased abdominal pressure and is a weakening of the abdominal wall. Usually fat and internal organs bulge outside the facsia that holds the internal organs within the abdominal cavity. This type of hernia can be asymptomatic or cause pain with pressure or exertion. If left untreated, they can become larger or become incarcerated requiring emergent surgical intervention. Dr. Ara Keshishian performs ventral hernia repairs using a laparoscopic technique that may or may not require mesh repair. Mesh is place behind the defect in the abdomonial wall and extends past the hernia edges. Mesh is used to re-enforce the abdominal wall and allowing the healing tissue to form a sturdy foundation to help prevent reoccurrence of the hernia.
Incisional Hernias are in an area of a previous surgical site. They are also a defect in the abdominal wall that allows internal organs to bulge through the fascia of the abdominal cavity. The symptoms usually start with pain, either dull or sharp, with or without a visible bulge. If left untreated, they can become larger or become incarcerated requiring emergent surgical intervention. The surgical repair technique required for Incisional Hernia repair is dictated by the extent of the defect. It may require an open or laparoscopic technique with or without tension free mesh placement. Extensive Incisional Hernias may require a compartment separation technique to complete the repair.
Dr. Ara Keshishian has more than 17 years of advanced surgical skill and expertise in both open and minimally invasive surgical hernia repairs.