The goal of ventral hernia surgery is to repair the hole/defect in the abdominal wall so that the intestine and other abdominal tissue cannot bulge through the wall again. The surgery often restores the tone and shape of the abdominal wall by repairing the hole and bringing the muscles back to their normal position.
During open surgery, the surgeon makes a cut called an incision near the hernia. The bulging tissue is returned back into the body through the incision. The weak muscle that allowed the hernia to occur is then repaired. It may be stitched back together or, more commonly, patched with a synthetic material called mesh.
Laparoscopic hernia repair is performed with general anesthesia and requires use of a breathing tube. Three half-inch or smaller incisions are made in the lower part of the abdomen. In laparoscopic hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor.
Surgeons place the mesh over the open hernia. They use sutures, tacks or surgical glue to hold the mesh in place. Over time, the patient's tissue should grow into the small pores in the mesh and strengthen the muscle wall. This creates scar tissue that strengthens the hernia site.
Potential Complications. Surgery to repair a ventral hernia is generally safe and complications are uncommon. Knowing possible risks allows patients to report postoperative symptoms to their doctor as soon as they occur. Risk of general anesthesia.
After recovery, you can usually return to work or school within 2 to 3 days. You will not be able to lift anything over 10 pounds, climb, or do strenuous activity for 4 to 6 weeks following surgical repair of a ventral hernia.
Surgery may pose greater risks for people with serious medical problems. Without surgery, there is a risk that some fat or part of the intestine will get stuck (incarcerated) in the hernia and become impossible to push back in. This is usually painful.
