Abdominal wall incisional hernias

A hernia is a weakness in the wall of the abdomen that can arise after multiple operations.

The repair may involve releasing tissue tension to bring the edges of the abdominal wall together, plastic surgery or the use of biological meshes to bridge the gap in the tissues.

Symptoms

Patients who have had multiple previous operations can develop hernia at previous scars. This results in a bulging out of the abdomen, which can affect a patient's quality of life, mobility and return to normal activities.

Treatment

The timing of taking on an abdominal wall incisional hernia repair and the technique used to repair it are key parts of the decision-making process. A number of different strategies may be used, including releasing tissue tension to bring the edges of the abdominal wall together (component separation), the use of biological meshes to bridge the gap in the tissues, or plastic surgery. At The Christie Colorectal and Peritoneal Oncology Centre we use any or all of these strategies, depending on the size of the hernia and the strength of the patients' tissues.

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