Incisional hernias
This
is a diffuse hernia through a poorly healed scar
of an
earlier incision.
The factors responsible for the poor
healing
are
post-operative haematoma and sepsis, bad closure technique,
drains
in wound, the age of patient,
obesity and diabetes can
also.
The
treatment is surgical repair
using either layer by
layer
closure or keel repair. In some cases a mesh graft
needs to
be
used
to strengthen the repair or bridge a large tissue loss gap
in abdominal wall.
Ventral Hernia
These are
usually hernias in old incision wounds
Incision is
over the old wound and excision of the old scar.
Wide
dissection around the bulge will expose the rectus sheath on both side of the
bulge
Relaxing
incision on rectus sheath will permit easy approximation of edges of sheath
It is also
possible to reinforce sheath by interposing a cut out of synthetic marlex mesh.
Close the
wound
Any questions be sen to drmmkapur@gmail.com
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