Incisional ventral hernia is a common type of hernia that occurs at the site a previous surgical incision. When deeper tissues within an incision fail to heal adequately, a defect or hernia is created. With time, contents of the abdomen protrude through the hernia as a bulge. This may result in pain, disfigurement, or sometimes incarceration and compromise of bowel. Factors resulting in incisional hernias include wound infection, diabetes, long-standing steroid use, obesity, strenuous activities, etc.
Incisional ventral hernias are challenging problems that require specialized and experienced surgical care. Due to high potential for recurrence when hernias are repaired with sutures alone, incisional hernias are generally repaired with prosthetic mesh. The technique is called ‘tension-free’ repair. Depending on the location, size, and nature of your hernia a laparoscopic or open repair may be advised. Laparoscopic approach is particularly advantageous with moderate to large sized hernias since long incisions and their associated complications may be avoided. Patients can expect to leave the hospital immediately after surgery or within 24 hours, and return to daily activities and work within a few days.
Dr. Zaré has been performing both methods of repair since 2002. He was the co-principle investigator of a large multi-institutional randomized controlled trial comparing the open and laparoscopic methods. With over 8 years of experience, he has one of the largest experiences of laparoscopic incisional ventral hernia repair in the Bay area.