Home » Frequently asked Questions on Health » What is the treatment for recurrent incisional hernia?

What is the treatment for recurrent incisional hernia?

Q: I have swellings in the left lower abdomen and just above the navel. I underwent abdominal hysterectomy 20 years back and developed stomach pain due to adhesions in 2000 & laporotomy was done (limited resection of sigmoid). Then I developed incisional hernia and hernioplasty was done with prolene mesh. Then again I developed ventral hernia; hernioplasty was done using prolene mesh along medial side of prevous scar. Now the local doctor has advised for an abdominoplasty using prolene mesh. I would like your advice on the course of treatment I should follow. Which specialists, preferably in India, should I consult?

A:From your description, you seem to have a recurrent incisional hernia. If so, you require a mesh repair. 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%. Since you have had several recurrences, you must be repaired with a large mesh. The advice given to you sounds correct. The operation is likely to be difficult. I think that laparoscopic repair may be slightly easier in your case, since neither of the previous repairs was laparoscopic. It should do no harm to consult a laparoscopic surgeon who has extensive experience with incisional hernia repairs. The results are almost as good as those after open repair.

RELATED FAQ

................... Advertisement ...................

   

FAQ

ASK OUR EXPERTS

Using 0 of 1024 Possible characters
Choose Topic
-------------------------------- Advertisement -----------------------------------