Ventral Hernia Pathophysiology and Repair: A complete picture of the problem

Wound macroVentral Hernia: The ventral hernia it’s an occurrence in an area where a prior surgical incision had taken place; the size varies greatly from small simple ones to considerably large and complex ones. The cause being a disruption along or adjacent to the area of abdominal wall suturing, it’s a subsequent tension on the tissue that bars adequate healing and form a bulge or protrusion near the incision scar. A high rate of recurrence being the prime danger, a tension-free repair method using mesh is recommended. A few quick facts follow:

· Ventral Hernias gradually increase in size.

· They become progressively symptomatic.

· Bulges do not show up readily and pain is only symptom that the victim may experience.

· Ventral hernias develop as a result of excessive tension while closing the abdominal incision that brings forth poor healing, swelling and wound separation and finally develops into ventral Hernia formation.

Ventral Hernia Pathophysiology: Ventral hernia pathophysiology comprise the following points (i) A forceful blow to abdominal wall (ii) An abrupt increase in intra-abdominal pressure (iii) a rapid deflation of lungs (iv) a large pleuro-peritoneal pressure gradient (v) the diaphragm tears at its weakest point.

Ventral Hernia Repair: Ventral hernia repair can occur either through surgery or through prosthetic repair, the latter becoming the standard treatment in the recent times. A previous cut or incision being the main culprit, the procedure can be a traditional open surgery or a laparoscopic one, which involves a few, very small cuts that are closed with sutures, or by fine sterile surgical mesh, which provides additional strength. A tension-free procedure, as it is called, is a One-Day procedure that allows resuming normal activities without undue concern for recurrence. The procedure is as follows:
The repair starts with a midline incision for replacing the organs into the abdominal cavity. Followed by a dissection of the adhesions, the air is then removed from the pleural cavity after closing the defect. A chest tube is used if pneumothorax or effusion is likely.

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