“After Ventral Hernia Repair (VHR), complications are most likely to occur in patients with BMI ≥ 40 kg/m2. This subset of patients also had a significantly higher risk of undergoing surgery for a recurrent hernia, suggesting that this group of patients is likely to experience adverse outcomes after VHR and should be counseled to consider bariatric surgery prior to attempts at VHR.” Information on Bariatric Surgery here.

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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. Videos of Ventral Hernia Repairs here.