Incisional hernias can occur after surgery on the abdominal wall. Often a recurrent hernia needs to be repaired differently to prevent the recurrence of the hernia again. Just as important are patient factors that need to be controlled such as weight, protein intake, and cessation of smoking if the patient is a smoker.
If there are multiple hernias of the
abdominal wall, it is often advantageous to the surgeons, both general surgeon
and plastic and reconstructive surgeon to create adequate and wide exposure of
all hernias to allow appropriate reconstruction. The wide exposure can also
allow component separation to be performed to facilitate reconstruction of the
abdominal wall musculature to create a dynamic abdominal wall.
The wide exposure creates a potential
space that must be drained adequately post-operatively with drains. These
drains can stay in for approximately 7 days to up to three weeks
post-operatively.
Proper protein intake in the
post-operative period is important to optimize wound healing.
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