In general term, the ventral hernia is the protrusion of intra-abdominal contents, through the anterior abdominal wall fascia defect [1], except ...Openaccesspeer-reviewedchapterVentralHernia:CausesandManagementByAbdulMannanKhanRaoSubmitted:March26th2019Reviewed:July28th2019Published:November27th2019DOI:10.5772/intechopen.88873Home>Books>TechniquesandInnovationinHerniaSurgeryAdvertisementDownloaded:496AdvertisementAbstractVentralherniaisthemostcommontypeofherniaafteringuinalhernias.Theterm“ventralhernia”createssomeconfusion,becauseinmostcountriesoftheworld,especiallyinEurope,itisconsideredasincisionalhernia,whileintheUSA,itisusuallyconsideredasherniasofanteriorabdominalwallexceptgroinhernias.Dailyintheworldmillionsofabdominalsurgeriesarebeingperformedbybothopenorconventionalandlaparoscopictechniques,with3–20%incidenceofincisional.That’swhymainlyincisionalherniaanditscauses,riskfactors,andpredisposingconditionsandmanagementwillbediscussedinthischapter,thoughotherventralherniaswillbedescribedbriefly.Theimportantcauses,riskfactors[congenitalandacquired(patientsandpostoperative)],andpredisposingconditionsforventralherniaswillbediscussedindetail.Thesignsandsymptomsproducedbyventralhernia(incision)willbedescribedinitiallyandlater,andhowtoinvestigatetoconfirmthediagnosisandnecessaryinvestigationsbeforesurgeryfordifferenttypesofpatientsisdescribed.Inmanagingtheventralhernia,differenttreatmentoptionsarediscussedanddescribed,likeconservativemanagement,openmethod,laparoscopictechnique,andmoreadvancedrobotictechnique.Aftersurgerypostoperativecareofpatientandwoundisalsodiscussed.KeywordsherniaventralincisionalanteriorabdominalwalldefectopentechniquelaparoscopictechniquechapterandauthorinfoAuthorAbdulMannanKhanRao*CollegeofMedicine,QassimUniversity,SaudiArabia*Addressallcorrespondenceto:[email protected]:10.5772/intechopen.88873FromtheEditedVolumeIntechOpenTechniquesandInnovationinHerniaSurgeryEditedbyAngeloGuttadauroTechniquesandInnovationinHerniaSurgeryEditedbyAngel

A ventral or incisional hernia specifically describes a hernia, often in the middle of the abdomen, that occurs after a prior incision was made during a ...GeneralSurgery » Conditions&Procedures » Ventral(Incisional)HerniaVentral(Incisional)HerniaAherniaoccurswhenpartofaninternalorgan(usuallythesmallintestine)protrudesthroughaweakpointoftheabdominalwall,resultinginabulge.Aventralorincisionalherniaspecificallydescribesahernia,ofteninthemiddleoftheabdomen,thatoccursafterapriorincisionwasmadeduringaprioroperation.Thesizeoftheherniavariesconsiderablyfromsmalltogigantic.Thereareover400,000repairsofventralherniasperformedeachyearintheU.S.TheUCSFHerniaCenterprovidesthelatesttreatmentsforcomplexventralhernias,suchastheprogressivepneumoperitoneumprocedure,aspecializedapproachfortreatingparticularlylargeventralhernias. Ourpatientoutcomesfarsurpassthenationalaverage.PatientswithcomplexventralherniastreatedatUCSFhavearecurrencerateofapproximately18percent,comparedtoa30to40percentrecurrenceratenationally. SignsandSymptomsSymptomsofaventralherniainclude:Asmalltolargebulgeatornearanoldsurgicalincision,mostcommonlyalongaverticalstraightincisionontheabdomenDiscomfortorsharppain-especiallywhenstraining,lifting,orexercising-thatimproveswhenrestingAburning,gurgling,orachingfeelingatthebulgeIntestinalobstructionscanoccurwhentheintestinesareblockedduetoscartissueIncidenceOfthe5millionabdominalsurgeries performedeachyear,11-23%ofpatientsdevelopventralhernias.Thereare400,000ventralherniarepairsdoneperyearintheU.S.Theaverageageofpatientsareintheir5thdecadeoflife.Riskfactorsincludediabetes,obesity,lungdisease,smoking,woundinfections,andsteroids. DiagnosisTodiagnoseaventralhernia,thedoctortakesathoroughmedicalhistoryandconductsaphysicalexamination.Thepersonmaybeaskedtostandandcoughsothedoctorcanseeandfeeltheherniaasitprotrudesfromtheabdominalwall.Thedoctorcheckstoseeiftheherniacanbegentlymassagedbackintoitsproperpositionintheabdomen.TreatmentThereiscurrentlynouniversallyacceptedclassification

When a ventral hernia occurs, it usually arises in the abdominal wall where a previous surgical incision was made. In this area the abdominal muscles have ...SkiptoprimarynavigationSkiptomaincontentSkiptofooterVentralHerniaRepairSurgeryPatientInformationfromSAGESFindaSAGESSurgeonReturntoPatientInformationApproximately350,000-500,000ventralherniarepairsareperformedeachyearintheUnitedStates.Manyareperformedbytheconventional“open”method.Someareperformedlaparoscopically.Ifyoursurgeonhasrecommendedalaparoscopicrepair,thisbrochurecanhelpyouunderstandwhataherniaisandmoreaboutthetreatment.Laparoscopicventralherniarepairisatechniquetofixtearsoropeningsintheabdominalwallusingsmallincisions,laparoscopes(smalltelescopesinsertedintotheabdomen)andapatch(screenormesh)toreinforcetheabdominalwall.Itmayofferaquickerreturntoworkandnormalactivitieswithdecreasedpainforsomepatients.AboutHerniasWhatisaVentralHernia?Whenaventralherniaoccurs,itusuallyarisesintheabdominalwallwhereaprevioussurgicalincisionwasmade.Inthisareatheabdominalmuscleshaveweakened;thisresultsinabulgeoratear.Inthesamewaythataninnertubepushesthroughadamagedtire,theinnerliningoftheabdomenpushesthroughtheweakenedareaoftheabdominalwalltoformaballoon-likesac.Thiscanallowaloopofintestinesorotherabdominalcontentstopushintothesac.Iftheabdominalcontentsgetstuckwithinthesac,theycanbecometrappedor“incarcerated.”Thiscouldleadtopotentiallyseriousproblemsthatmightrequireemergencysurgery.Othersitesthatventralherniascandeveloparethebellybutton(umbilicus)oranyotherareaoftheabdominalwall.Aherniadoesnotgetbetterovertime,norwillitgoawaybyitself.HowDoIKnowIfIHaveaVentralHernia?Aherniaisusuallyrecognizedasabulgeunderyourskin.Occasionally,itcausesnodiscomfortatall,butyoumayfeelpainwhenyouliftheavyobjects,cough,strainduringurinationorbowelmovementsorwithprolongedstandingorsitting.Thediscomfortmaybesharporadullachethatgetsworsetowardstheendoftheday.Anycontinuousorseverediscomfort,redness,nauseaorvomitingassociatedwiththebulgearesignsthatthehern

Ventral hernias of the abdomen are defined as a non-inguinal, nonhiatal defect in the fascia of the abdominal wall.NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutNCBIBookshelf.AserviceoftheNationalLibraryofMedicine,NationalInstitutesofHealth.StatPearls[Internet].TreasureIsland(FL):StatPearlsPublishing;2021Jan-.StatPearls[Internet].ShowdetailsTreasureIsland(FL):StatPearlsPublishing;2021Jan-.SearchtermVentralHerniaJasonSmith;JohnD.Parmely.AuthorInformationAuthorsJasonSmith1;JohnD.Parmely2.Affiliations1BeaumontHospitalFarmingtonHills2BeaumontHealthLastUpdate:August11,2021.ContinuingEducationActivityVentralherniasoftheabdomenarenon-inguinal,non-hiataldefectsinthefasciaoftheabdominalwall.Theyarecommonlyseeninclinicalpractice.Therepairoftheseabdominalwalldefectsisacommonsurgeryperformedbygeneralsurgeons.Thisactivitydescribesthepathophysiology,evaluation,andmanagementofventralherniasandhighlightstheroleoftheinterprofessionalteamincaringforaffectedpatients.Objectives:Identifytheetiologyofventralhernias.Describethepresentationofapatientwithaventralhernia.Outlinethetreatmentandmanagementoptionsavailableforventralhernias.Explaininterprofessionalteamstrategiesforimprovingcarecoordinationandcommunicationtoadvancethemanagementofventralherniasandimproveoutcomes.Accessfreemultiplechoicequestionsonthistopic.IntroductionVentralherniasoftheabdomenaredefinedasanon-inguinal,nonhiataldefectinthefasciaoftheabdominalwall.Annually,thereareabout350,000ventralherniaoperations.Therepairof these abdominalwalldefectsisacommonsurgeryperformedby generalsurgeons.Surgeryistypicallyrecommendedforindividualswithacceptableoperativerisk,symptomatichernias,orthoseatelevatedriskofdevelopingcomplicationsfromahernia.Theycanaffectanindividual’squalityoflifeandcanleadto hospitalizationsandevendeathinsomecases.[1][2][3]EtiologyEtiologiesofaventralherniacanbebrokendowninto2maincategories;acquiredorcongenital.Thevastmajorityofherniasthatgeneralsurgeonsseeandtreatar

What is a ventral hernia? A ventral hernia is a bulge of tissues through an opening of weakness within your abdominal wall muscles.HealthConditionsDiscoverPlanConnectSubscribeNutritionHealthyEatingMealPrepLifestyleDietsWeightManagementVitamins&SupplementsConditionsVentralHerniaMedicallyreviewedbyStacySampson,D.O.—WrittenbyLydiaKrause—UpdatedonJune6,2017RiskfactorsCausesSymptomsDiagnosisTreatmentComplicationsOutlookWhatisaventralhernia?Aventralherniaisabulgeoftissuesthroughanopeningofweaknesswithinyourabdominalwallmuscles.Itcanoccuratanylocationonyourabdominalwall.Manyarecalledincisionalherniasbecausetheyformatthehealedsiteofpastsurgicalincisions.Hereabdominalwalllayershavebecomeweakorthin,allowingforabdominalcavitycontentstopushthrough.Inastrangulatedventralhernia,intestinaltissuegetstightlycaughtwithinanopeninginyourabdominalwall.Thistissuecan’tbepushedbackintoyourabdominalcavity,anditsbloodflowiscutoff.Thistypeofventralherniaisanemergencyrequiringsurgery.Herniascanoccurinotherplacesofyourbodyandarenamedafterthelocationwheretheyoccur—forexample,afemoralherniaoccursinyourupperthigh.Whataretheriskfactorsofaventralhernia?Certainpeoplearebornwithacongenitaldefect—oneexistingfrombirth—thatcausestheirabdominalwalltobeabnormallythin.Theyareatagreaterriskfordevelopingaventralhernia.Otherriskfactorsforaventralherniainclude:pregnancyobesityhistoryofpreviousherniashistoryofabdominalsurgeriesinjuriestoyourbowelareafamilyhistoryofherniasfrequentlyliftingorpushingheavyobjectsWhatarethecausesofaventralhernia?AccordingtoUCSF,incisionalherniasmayoccurinupto30percentofthosewho’vehadanabdominalsurgery.Mostoccuratthesiteofasurgicalscar.Thescartissueweakensorthins,allowingabulgetoformintheabdomen.Thisbulgeistissueororganspushingagainsttheabdominalwall.Whatarethesymptomsofthiscondition?Ventralherniascanproduceanarrayofsymptoms.Symptomsmaytakeweeksormonthstoappear.Youmayfeelabsolutelynosymptoms.Oryoucouldexperiencediscomfortorseverepainintheareaofyourhernia,whichmightgrowworsewhenyoutryt

NowschedulingCOVID-19vaccinesforages12+,boostersandthirddosesScheduleyourappointmentCOVID-19vaccineFAQsGoingtoaClevelandCliniclocation?NewvisitationguidelinesMasksrequiredforpatientsandvisitors(evenifyou'revaccinated)Home/HealthLibrary/Disease&ConditionsVentralHerniaAventralherniaoccursalongtheverticalcenteroftheabdominalwall.Symptomsincludepainintheabdomen,especiallywhenliftingorstraining.Treatmentiswithsurgery,includingopen,laparoscopicandroboticherniarepair.Appointments216.444.7000Appointments&LocationsContactUsOverviewSymptomsandCausesDiagnosisandTestsManagementandTreatmentVentralHerniaOverviewSymptomsandCausesDiagnosisandTestsManagementandTreatmentBackToTopOverviewVentralherniaWhatisaventralhernia?Aherniaoccurswhenthereisaholeinthemusclesoftheabdominalwall,allowingaloopofintestineorabdominaltissuetopushthroughthemusclelayer.Aventralherniaisaherniathatoccursatanylocationalongthemidline(verticalcenter)oftheabdomenwall.Therearethreetypesofventralhernia:Epigastric(stomacharea)hernia:Occursanywherefromjustbelowthebreastbonetothenavel(bellybutton).Thistypeofherniaisseeninbothmenandwomen.Umbilical(bellybutton)hernia:Occursintheareaofthebellybutton.Incisionalhernia.Developsatthesiteofaprevioussurgery.Uptoone-thirdofpatientswhohavehadanabdominalsurgerywilldevelopanincisionalherniaatthesiteoftheirscar.Thistypeofherniacanoccuranytimefrommonthstoyearsafteranabdominalsurgery.SymptomsandCausesWhatarethecausesandriskfactorsfordevelopingaventralhernia?Therearemanycausesincluding:Weaknessattheincisionsiteofapreviousabdominalsurgery(whichcouldresultfromaninfectionatthesurgerysiteorfailedsurgicalrepair/meshplacement).Weaknessinanareaoftheabdominalwallthatwaspresentatbirth.Weaknessintheabdominalwallcausedbyconditionsthatputstrainonthewall.Theseinclude:BeingoverweightFrequentcoughingepisodesSeverevomitingPregnancyHistoryofliftingorpushingheavyobjectsStrainingwhilehavingabowelmovement/urinatingInjuriestothebowelareaLungdiseases(chronicobstructivepulmonarydiseaseandemphysema;struggli

ShareFacebookTwitterLinkedinEmailHomeSurgeryOurServicesGeneralSurgeryConditionsWeTreatHerniasSurgeryVentralHerniasGeneralSurgeryBariatricSurgeryEmergencySurgeryConditionsWeTreatCarcinoidandNeuroendocrineTumorsEsophagusandStomachDisordersAchalasiaGastroesophagealRefluxDisease(GERD)GallbladderGastrointestinalandColonandRectalConditionsHerniasFemoralHerniasIncisionalHerniasInguinalHerniasParaesophagealHiatalHerniasUmbilicalHerniasVentralHerniasSpleen,Adrenal,andPancreaticDisordersMeetOurTeamOurLocationsIfyou’restrugglingwiththemanypossiblesymptomsofventralhernias—fromsharppaintovomiting—youunderstandtheimportanceoffindingprompt,effectivetreatment.MountSinai’shighlyskilledsurgeonshaveextensiveexperiencewithproceduresthatwillproviderelief,includinglaparoscopicventralherniarepair.AboutVentralHerniasAventralherniaoccurswhenaweakspotintheabdomenenablesabdominaltissueoranorgan(suchasanintestine)toprotrudethroughacavitymusclearea.Theseherniasarevisiblyidentifiedbyabulgeinthebellyarea.Themostcommonlocationsforventralherniasarethesiteofapreviousabdominalprocedure(an incisionalhernia,thenavel(an umbilicalhernia,andthegroin(an inguinalhernia).Ventralherniascanappearasacongenitaldefectatbirth,ordevelopoveraperiodoftimeresultingfromfactorssuchaspregnancy,abdominalsurgery,orlong-termstressontheabdominalmuscles.Ventralherniascannothealontheirown.Mostcommonly,ventralherniasaresurgicallyrepairedinordertoavoidtheriskoftheintestinebecomingstrangulated(cutofffromthebody’sbloodsupply).Strangulationisconsideredamedicalemergency.Aventralhernia’ssymptomsaredeterminedbyitslocationintheabdomenandcanincludesharppainthatmaybepresentduringphysicalactivity,vomiting(inthecaseofincisionalhernias),andconstipation.Ventralherniasaretypicallydiagnosedbycheckingtheabdomenforanoticeablebulge.SomephysiciansmayconductCTscans,ultrasound,bloodtests,orurinalysisinadditiontothephysicalexamination.TreatmentsforVentralHerniasIfanorganisstuckinthehernialcavity,orifanorganisatriskforbecomingstuck,surgerywilltypicall

Ventral hernias occur in the anterior abdominal wall and include ... techniques of laparoscopic ventral hernia repair are discussed in ...

A ventral (abdominal) hernia refers to any protrusion of intestine or other tissue through a weakness or gap in the abdominal wall.SkipNavigationImportantUpdates:COVID-19vaccinations|RecallonPhilipsRespironicsmedicaldevicesCOVID-19:Wearevaccinatingpatientsages12+.Learnmore:Vaccines,Boosters&3rdDoses|Testing|PatientCare|VisitorGuidelines|Coronavirus|Self-Checker|EmailAlerts PhilipsRespironicsissuedarecallforsomeCPAPandBiLevelPAPdevicesandmechanicalventilators.Learnmore.HealthHomeConditionsandDiseasesHerniasVentral(Abdominal)HerniaFacebookTwitterLinkedinPinterestPrintHerniasWhatisaventralhernia?Aventral(abdominal)herniareferstoanyprotrusionofintestineorothertissuethroughaweaknessorgapintheabdominalwall.Umbilicalandincisionalherniasarespecifictypesofventralhernias.VentralHerniaCausesThecauseofaventralherniacandifferdependingonitslocationaswellasyourmedicalhistory,healthandpersonalanatomy.Theweaknessintheabdominalwallthroughwhichtheintestineprotrudesmaybepartofyourbody’snaturalformation.Itcanalsoresultfrom:Chroniccoughing,severeorchronicvomitingDiabetesorotherdiseasesHeavyliftingInjuryorobesityPregnancyPriorsurgeryVentralHerniaDiagnosis Toidentifyaventralhernia,ahealthcareprovidermayusemultiplediagnostictechniquesbutwillbeginwithamedicalhistoryandphysicalexamination.Theproviderwillinquireaboutand/orlookfor:Constipation,"narrow"or"thin"stoolLumporprotrusionintheabdomen;youmaybeaskedtostandandcough,whichincreasesabdominalpressureandmakestheherniamorepronouncedandeasiertodiagnoseNausea,vomiting,feverorrapidheartratePainintheabdomen,especiallyaroundtheprotrusionIftheprotrudingportionofintestinehasbecometrapped(incarcerated)withintheabdominalwall,thebloodsupplytotheintestinecangetcutoff.Thismaycausefurthercomplicationssuchasnecrosis(tissuedeath).Ifyourprovidersuspectsthisisthecase,additionaldiagnosticsmayinclude:BloodteststolookforinfectionscausedbyintestinalblockageornecrosisUltrasound,MRI,CTorotherimagingtocheckforblockageoractuallocationoftheintestinalprotrusionVentralHer