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Problems that may occur in the abdominal wall include primarily ruptures (hernias and eventrations) and, much less often, abdominal wall tumours.

If they are not repaired, hernias and eventrations (incisional hernias) cause problems such as incarceration/strangulation of intraperitoneal elements (intestines, stomach, omentum, etc.), which come out of herniated holes and involve a high risk of intestinal perforation and peritonitis.

Resection of the abdominal wall due to an abdominal wall tumour involves leaving a hole in the abdominal wall. This opening must be closed properly during surgery with the use of implants. Otherwise, severe complications may arise that have to be corrected with further surgery.

SURGERIES AND PROCEDURES

Inguinal hernioplasty

Inguinal hernioplasty is surgery to repair a hernia in the inguinal region using synthetic material (mesh). This type of surgery provides a very low probability of reappearance (2-3%).  In addition, thanks to laparoscopic surgery, you experience less post-operative pain and can return to your usual activities much quicker.

Umbilical hernioplasty

Umbilical hernioplasty is surgery to repair a hernia in the umbilical region. It is an area of the abdominal wall that is especially vulnerable because it is weaker and intra-abdominal pressure concentrates in the centre of the abdomen during effort.

Results with mesh repair are better than if the hernia defect is merely sutured.

Abdominal herniorrhaphy

Abdominal herniorrhaphy is the mesh repair of an incisional hernia that occurs in the scar of an anterior abdominal wall surgery.  It is very common (20-25%) and it is crucial to repair it properly because, if not, there is an exponential increase in the probability of subsequent ruptures.

Abdominal wall tumour resections

Abdominal wall tumour resections may be specific to musculofibrous tissue or tumour implants from other locations. Suitable repair of the defect remaining in the wall is required (with synthetic or biological mesh) to avoid further eventrations.

ADVISE AND INSTRUCTIONS FOR SURGERY

Before the operation

Avoid intense physical efforts that increase the size of the hernia and the possibility of intestinal strangulation, which could lead to an unwanted emergency surgery.

After the operation

Control postoperative pain with analgesics, occasional muscle relaxants and an abdominal girdle in cases of larger eventrations.

After leaving the hospital

Avoid efforts for a time period that will vary depending on the surgery.

Be aware that the abdominal wall, as a dynamic structure, needs a slightly longer postoperative time to recover all its functions properly without patient discomfort.

You can make an appointment with the barnaclínic+ Abdominal Wall Unit online. Once your request is made, we will contact you, and attempt to take your preferences into account as much as possible.

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ABDOMINAL WALL PATHOLOGY BLOG (Spanish)

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