Ventral Hernia

Hernias can occur anywhere in the abdominal wall. The most common are ventral and/or incisional hernias. Commonly in the midline, they include epigastric and umbilical hernias. Incisional hernias occur in at least 2-11% of abdominal incisions (10,11). Midline incisions may be at increased risk as they run perpendicular to the lines of tension. Risk factors for incisional hernias include local stresses such as wound infection, obesity, abdominal distention, ascites, and pulmonary complications, as well as systemic factors such as advanced age, post-operative chemotherapy, steroids, malnutrition, and multisystem organ failure. Indications for repair parallel those of the inguinal hernia (10,11). By contrast, diastasis of the abdominal recti muscles, representing a separation of the muscles that is apparent from the xiphoid process to the umbilicus, is a cosmetic defect that is generally painless, and poses no risk for incarceration.

0 0

Post a comment