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Topic: Incisional hernia

Related Topics

hiatus hernia

hiatal hernia

inguinal hernia

indirect inguinal hernia

Spigelian hernia

Hernia repair

Microcephaly hiatus hernia nephrotic syndrome

incarcerated hernia

incisional hernia

spontaneous lateral ventral hernia

Diaphragmatic hernia upper limb defects

complete hernia

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	Incisional Hernia Repair - Definition, Purpose, Demographics, Description, Diagnosis/Preparation, Aftercare, Risks, ...
		The factors that increase the risk of incisional hernia are conditions that increase strain on the abdominal wall, such as obesity, advanced age, malnutrition, poor metabolism (digestion and assimilation of essential nutrients), pregnancy, dialysis, excess fluid retention, and either infection or hematoma (bleeding under the skin) after a prior surgery.
		Two surgical approaches are used to treat incisional hernias: either a laporoscopic incisional herniorrhaphy, which uses small incisions and a tube-like instrument with a camera attached to its tip; or a conventional open repair procedure, which accesses the hernia through a larger abdominal incision.
		Incisional hernia repair is performed in a hospital operating room or a one-day surgical center by a general surgeon who may specialize in hernia repair procedures.
	www.surgeryencyclopedia.com /Fi-La/Incisional-Hernia-Repair.html (2494 words)

	Hernia - Wikipedia, the free encyclopedia
		Inguinal hernias are further divided into the more common indirect inguinal hernia (2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the "direct" type (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal.
		A hiatus hernia is a particular variant of this type, in which the normal passageway through which the esophagus meets the stomach (esophageal hiatus) serves as a functional "defect", allowing part of the stomach to (periodically) "herniate" into the chest.
		Hiatus hernias may be either "sliding," in which the gastroesophageal junction itself slides through the defect into the chest, or non-sliding (also known as para-esophageal), in which case the junction remains fixed while another portion of the stomach moves up through the defect.
	en.wikipedia.org /wiki/Hernia (2192 words)

	Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Incisional hernia, including ...
		In patients with large incisional hernias, the contents of the hernia may have lost the right of domain in the abdomen: return of the contents of the hernia to the abdominal cavity may result in increased intra-abdominal pressure, splinting of the diaphragm, and a significant reduction in pulmonary reserve in patients with chronic respiratory disease.
		The hernial sac and the neck of the hernia are cleaned of fibrofatty tissue and the hernia is inverted by the placement of interrupted mattress nylon sutures to close the defect in the musculoaponeurotic layer.
		However, midline incisional repairs may be repaired by incising the anterior rectus sheath 1 cm from the edge of the hernial defect on each side and suturing the medial edges of the anterior rectus sheath to invert the hernial sac.
	med-lib.ru /english/oxford/incis_hern.shtml (3423 words)

	Laparoscopic Hernia Repair :: Minimally Invasive Hernia Repair
		A hernia is a defect in the abdominal wall, in which the inside layers of the abdominal muscle have weakened resulting in a bulge or tear.
		The hernia defect is reinforced with a 'mesh' (synthetic material made from the same material that stitches are made from) and secured in position with stitches/staples/titanium tacks or tissue glue, depending on the preference of your individual surgeon.
		Incisional hernias are reported to occur in approximately 4-10% of patients after open surgical procedures.
	www.lapsurg.org /hernia.html (2051 words)

	Hernia papers
		Incisional hernias are a frequent complication of abdominal surgery occurring in between 10% and 20% of those who undergo a laparotomy.
		The aim of this study was was to quantify patients' pain from an inguinal hernia at rest and on moving and to assess the effect of a hernia repair on the pain experienced.
		It was concluded that the use of lightweight composite mesh for incisional hernia repair and similar outcomes to polypropylene or polyester with exception on a non-significant trend towards increased hernia recurrence.
	www.surgical-tutor.org.uk /papers/hernias.htm (6755 words)

	Incisional hernia
		In transverse hernias the mesh was sutured to the under surface of the external oblique muscle with loose interrupted polydioxanone sutures (figure 4).
		The medial border of the lateral leaf of the rectus sheath, or the fibrous margin of the lateral circumference of a transverse defect, was then sutured to the upper surface of the mesh with continuous polydioxanone to give a tension free repair (figure 5).
		The size of the incisional hernia was subjectively considered to be large in 15, medium in 14 and small in 6.
	gensurg.co.uk /incisional_hernia_paper.htm (2011 words)

	Incisional Hernia
		An incisional hernia occurs in the abdomen in the area of an old surgical scar.
		Incisional hernias occur in people who have had previous abdominal surgery, and are more likely to occur in people who are obese or pregnant.
		Incisional hernias are caused by thinning or stretching of scar tissue that forms after surgery.
	www.hmc.psu.edu /healthinfo/i/incisionalhernia.htm (681 words)

	Laparoscopy Hospital - Frequently asked questions about laparoscopic repair of incisional hernia
		Hernias result from a hole or defect in the layers of abdominal wall, through which the peritoneum protrudes, forming the sac.
		The incidence of incisional hernia is less common after laparoscopic surgery but it is a fairly common complication after laparotomy.
		Wound infection after surgery is a common cause of incisional hernia because infection interferes with the normal healing process, result is a weaker scar.
	www.laparoscopyhospital.com /incisional.htm (857 words)

	Laparoscopic Incisional/Ventral Hernia Repair
		A hernia occurs when part of an organ (usually the bowel or intestine) protrudes through a weak point or tear in the thin muscular wall that holds the abdominal organs in place.
		A small incision is made in the abdominal wall in a location chosen too minimize the risk of running into organs or scar tissue from prior operations.
		UM Hernia Center surgeons Scott Roth M.D., and Adrian Park, M.D. -- a leading authority on the laparoscopic treatment of abdominal wall hernias -- both have a tremendous amount of experience with hernia repair.
	www.umm.edu /general_surgery/lap_hernia_repair.html (742 words)

	eMedicine - Hernia : Article Excerpt by: Mark A Mullins, MD (Site not responding. Last check: 2007-10-31)
		Hernias by themselves usually are harmless, but nearly all have a potential risk of having their blood supply cut off (becoming strangulated).
		Direct inguinal hernia: The direct inguinal hernia occurs slightly to the inside of the site of the indirect hernia, in a place where the abdominal wall is naturally slightly thinner.
		Spigelian hernia: This rare hernia occurs along the edge of the rectus abdominus muscle, which is several inches to the side of the middle of the abdomen.
	www.emedicine.com /aaem/byname/hernia.htm (691 words)

	Hernia (Site not responding. Last check: 2007-10-31)
		Hernia is a general term used to describe a bulge or protrusion of an organ through the structure or muscle that usually contains it.
		A ventral hernia is also called an incisional hernia because it generally occurs as a bulge in the abdomen at the site of an old surgical scar.
		Most hernias result from a weakness in the abdominal wall that either develops or that an infant is born with (congenital).
	www.healthatoz.com /healthatoz/Atoz/ency/hernia.jsp (1722 words)

	MedlinePlus Medical Encyclopedia: Hernia repair
		Hernia repair involves surgery to correct an abnormal bulging of internal organs, often the intestine, through a weakness in a muscular wall (hernia).
		Hernias in children are rarely caused by an injury or tearing of tissue and are usually the result of incomplete closure in the groin (inguinal hernia) or around the umbilicus (umbilical hernia).
		Inguinal hernias account for the majority of all hernias and are more common in men than women-- about 25% of men and 2% of women develop an inguinal hernia in their lifetime.
	www.nlm.nih.gov /medlineplus/ency/article/002940.htm (600 words)

	SSAT - Physician Guidelines - Surgical Repair Of Incisional Hernias (Site not responding. Last check: 2007-10-31)
		Weakening of surgical closures over time may result in the development of an incisional hernia, which is estimated to occur in 3-13% of primary abdominal incisions.
		Recurrence rates after incisional hernia repair are markedly higher, estimated to range from 25-50%.
		Incisional hernias can present in a variety of different ways, but the most frequent complaint is pain.
	www.ssat.com /cgi-bin/incisionalHernia.cgi?affiliation=other (999 words)

	Hernias
		Hernias are caused by a combination of muscle weakness and strain, although the cause of the weakness and the type of strain may vary.
		More than 70% of all hernias that occur are inguinal hernias, which means that a part of the intestines protrudes through an opening in the lower part of the abdomen, near the groin, called the inguinal canal.
		Nearly all cases of inguinal hernias in teens are due to a congenital defect of the inguinal canal.
	kidshealth.org /teen/sexual_health/guys/hernias.html (963 words)

	incisional hernia - General Practice Notebook (Site not responding. Last check: 2007-10-31)
		The hernia may be apparent within the first year post-operatively, but may not develop for up to 5 years.
		Usually, the incisional hernia presents as a bulge in the abdominal wall near a previous wound.
		Small hernia's recur in 2-5% of cases; medium sized hernias recur in 5-15%; and large hernias recur in 5-15%.
	www.gpnotebook.co.uk /cache/-375783402.htm (180 words)

	Repair of incisional hernias
		The incisions were midline in 26 cases, transverse in 6, paramedian in 2 and rooftop in one patient.
		The hernias were considered subjectively to be large in 15, medium in 14 and small in 6 of the patients.
		The size of the incisional hernia was subjectively considered to be large in 15, medium in 14 and small in six patients.
	www.rcsed.ac.uk /journal/vol46_1/4610007.htm (2043 words)

	INCISIONAL HERNIA TECHNIQUE
		Hernia treatment and incisional hernia repair technique of hernias is important information for patients needing hernia repair surgery.
		RETURN TO atients undergoing Incisional Hernia repair with this technique must be at or near IDEAL BODY WEIGHT to achieve a safe and effective repair with this method.
		Consultation and examination prior to arranging surgery is mandatory in all situations of Recurrent Incisional Hernias (previously repaired with or without mesh and regardless of prior method) to determine a patient's candidacy for repair and to outline both a safe and an effective operative approach.
	hernia.tripod.com /inctech.html (900 words)

	Laparoscopic incisional hernia repair
		An incisional hernia is a defect in the abdominal wall through the site of an old operation scar.
		Approximately 25,000 incisional hernia repairs are performed annually in the United Kingdom.
		The laparoscopic repair of incisional hernias was designed to minimise operative trauma to the patient.
	www.homertonlaparoscopy.com /11320458501604.html (597 words)

	Untitled Document
		Furthermore, incisional hernia developed in nearly half of patients undergoing laparotomy with omentectomy, suggesting that omentectomy may predispose to incisional hernia during laparotomy for PD catheter correction.
		The development of incisional hernia appears to be due to several factors, including previously weakened incision tissue, poor healing, and increased intra-abdominal pressure.
		Midline incision during PD catheter implantation establishes a predilection for incisional hernia: it is well known that the change from midline to paramedian incision resulted in a significant reduction in the incidence of incisional hernia (5,7).
	www.advancesinpd.com /adv01/29Song.htm (2074 words)

	SAGES Publication: Patient Information for Laparoscopic Inguinal Hernia Repair from SAGES
		Hernias can develop at these or other areas due to heavy strain on the abdominal wall, aging, injury, an old incision or a weakness present from birth.
		Laparoscopic Hernia Repair is a technique to fix tears in the abdominal wall (muscle) using small incisions, telescopes and a patch (mesh).
		I. The open approach is done from the outside through a three to four inch incision in the groin or the area of the hernia.
	www.sages.org /sagespublication.php?doc=PI06 (1432 words)

	INCISIONAL HERNIAS
		These hernias can occur at any incision, but tend to occur more commonly along a straight line from the breastbone straight down to the pubis, and are more complex in these regions.
		Hernias in this area have a high rate of recurrence if repaired via a simple suture technique under tension and it is especially advised that these be repaired via a TENSION FREE repair method using mesh.
		xamination by a trained Hernia Specialist may be necessary to detect these hernias early on in their development, as well as to repair them properly to avoid recurrence and complications later on.
	hernia.tripod.com /incisional.html (800 words)

	What is the treatment for recurrent incisional hernia? - Surgery - DoctorNDTV
		Then I developed incisional hernia and hernioplasty was done with prolene mesh.
		Incisional hernia has the highest recurrence rate for all hernias.
		Over 5% of hernias will recur after a mesh repair; without a mesh repair the recurrence rate is 35-50%.
	www.doctorndtv.com /faq/detailfaq.asp?id=4257 (275 words)

	Hernia
		Rare and usually occurring in women, femoral hernias are particularly at risk of becoming irreducible and strangulated.
		Even if the area is closed at birth, umbilical hernias can appear later in life because this spot remains a weaker place in the abdominal wall.
		Epigastric hernia: Occurring between the navel and the lower part of the rib cage in the midline of the abdomen, epigastric hernias are composed usually of fatty tissue and rarely contain intestine.
	www.emedicinehealth.com /hernia/article_em.htm (846 words)

	large incisional hernia (Site not responding. Last check: 2007-10-31)
		There is a large incisional hernia in relation to a lower right paramedian incision.
		The incidence of incisional hernia is approximately 10% following abdominal surgery and is much more common when delayed healing is present.
		This might be due to patient factors such as malnutrition, collagen disorders, advanced malignancy or surgical factors such as poor technique, wound infection, suture material defects.
	www.edu.rcsed.ac.uk /photoalbum/ph117.htm (88 words)

	INCISIONAL HERNIA MESH
		Incisional or ventral hernia repair commonly requires preperitoneal (fully outside the intestinal compartment of the abdominal cavity) and retromuscular placement of the mesh, placed, as we always do, under the hernia defect (where it is more effective) and not over it.
		Often, however, the the thin peritoneum cannot be completely closed and the omentum (fatty apron of the abdominal cavity) must be interposed to prevent contact between intestine and organ structures and the mesh.
		Composix however combines two different materials to both promote the ingrowth of surrounding tissue (the upper polyproplylene side which is in contact with the under surface of the muscle), while reducing or eliminating the risk of intestinal adhesions to the mesh itself (a lower gortex side with it's no-stick, no adhesion properties).
	hernia.tripod.com /incmesh.html (388 words)

	Understanding Hernia -- the Basics
		A hernia occurs when an organ or tissue squeezes through a hole or a weak spot in a surrounding muscle or connective tissue called fascia.
		In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin.
		Ultimately, all hernias are caused by a combination of pressure and an opening or weakness of muscle or fascia: The pressure pushes an organ or tissue through the opening or weak spot.
	www.webmd.com /content/article/6/1680_53577.htm (321 words)

	Hernia Resource Center - Medical and patient information about hernias - hernia surgery, operations and treatment, ...
		Hernia Resource Center - Medical and patient information about hernias - hernia surgery, operations and treatment, Perfix Plug & Kugel.
		Many of you may be surprised to learn that much of what you think you know about hernias simply isn't true.
		Here, you will be able to check out the most frequently asked questions about hernias, learn about surgical treatment options, ask a surgeon specific questions and locate a doctor in your area.
	www.herniainfo.com (190 words)

	HERNIA INFORMATION
		A hernia (rupture) is usually noticed as a lump, commonly in the groin or the umbilical region.
		True experts in hernia would not rush into surgery, so it is essential to consult specialists who regularly see all these kinds of cases.
		Where required, these various injuries are treated surgically at The British Hernia Centre as day cases under local anaesthesia and allow a return to full - even vigorous - training, usually within 2 to 3 weeks.
	www.hernia.org /whatsport.html (796 words)

	Welcome to the new SURGICOM website: ASSA, VASSA
		An incisional hernia is a hernia which develops at the site of a previous operation.
		There are several different techniques for repairing incisional hernias.
		A recurrent hernia may even be larger than the original hernia.
	www.surgicom.co.za /P_patinfo_INCISIONAL_HERNIA_013.asp (411 words)

	Clinical Trial: A Study to Compare Ventral Incisional Hernia by Laparoscopic Vs Open Repair With Mesh
		The purpose of this research is to compare open ventral incisional hernia repair to the laparoscopic repair with respect to complications, recurrence, pain, return to normal activities of daily living, and return to work.
		While advances in anesthesia techniques, better methods to prevent surgical infections, and improved treatment of infection, and the use of new suture materials have reduced the incidence of incisional hernias, incisional hernias still occurs in 0.5-11% of all open abdominal surgical procedures performed.
		In addition to the participating center, the other baseline variables that serve as stratification factors are first time or recurrent ventral incisional hernia and patient with a body mass index greater or less than 35arm.
	clinicaltrials.gov /ct/show/NCT00240188 (689 words)

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