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Ventral Hernia

 

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What is a ventral hernia?

A ventral hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal wall. Unlike other types of hernias that typically occur in specific areas like the groin or belly button, ventral hernias can develop anywhere in the abdominal wall.

What causes a ventral hernia?

Several factors can contribute to the development of ventral hernias, including:

  • Complication of previous abdominal surgeries
  • Weakness in the abdominal muscles, whether congenital or acquired  
  • Increased intra-abdominal pressure, such as obesity or pregnancy

What are symptoms of a ventral hernia?

The most common symptoms of a ventral hernia include:

  • A noticeable bulge or protrusion in the abdomen that may become more prominent when standing, coughing, or straining.
  • Discomfort, tenderness, or aching in the affected area, particularly when touching the bulge or engaging in activities such as lifting heavy objects.
  • Constipation or difficulty passing stool, especially if the protruding tissue becomes trapped or twisted (incarcerated or strangulated hernia).

How do you treat a ventral hernia?

Common treatment options for ventral hernia are:

  • Watchful waiting approach and monitor the hernia regularly for changes. This option is typically used for small, asymptomatic ventral hernias.
  • Hernia belt or binder may help manage symptoms and provide temporary relief, particularly for individuals who are not surgical candidates.
  • Ventral hernia surgical repair, especially if the hernia is causing symptoms, enlarging, or at risk of complications. During surgery, the protruding tissue is repositioned, and the weakened abdominal wall is reinforced with stitches or a synthetic mesh.