Laparoscopic plastic of the abdominal wall hernia (with a mesh) (small scale)

The front, sides, and back of the abdominal wall are formed by a muscular layer that provides structural support. When intra-abdominal pressure increases or a weak area develops and the defect in the muscular layer enlarges, abdominal contents may begin to protrude into the subcutaneous tissue, resulting in the formation of an abdominal wall hernia. Common symptoms of a hernia include pain and the appearance of a lump. Hernias may be reducible, meaning they can be pushed back into the abdominal cavity, or incarcerated, meaning they cannot be returned. The most common complication of this condition is hernia incarceration. When a hernia becomes incarcerated, the protruding structures can no longer return to the abdominal cavity, which may lead to impaired blood circulation and tissue death. Surgical treatment on a planned basis is recommended to prevent complications.

An abdominal wall hernia develops when a defect forms in the midline of the abdominal wall between the left and right rectus abdominis muscles. In most cases, the defect is small, allowing preperitoneal fat to protrude into the subcutaneous tissue. These hernias may be painful but rarely become incarcerated.

Before Surgery:

Our team of physicians will perform the necessary examinations and assess the patient’s overall health condition.

Before surgery, please follow your doctor’s instructions carefully to ensure the best possible outcome.

During Surgery:

The procedure is performed under general anesthesia. Carbon dioxide (CO₂) gas is introduced into the abdominal cavity laparoscopically to create a working space for the surgeon. Small incisions are made in the abdominal wall, through which a miniature laparoscopic camera and surgical instruments are inserted. The operation is performed while viewing the surgical field on a monitor. For defects up to 2 cm in diameter, good results are often achieved by direct closure of the defect with sutures. For larger defects, a special synthetic mesh is used. The laparoscopic approach allows patients to return to their normal daily activities more quickly, results in a significantly shorter recovery period compared to open surgery, and reduces the risk of surgical wound complications.

After Surgery:

Following the procedure, patients are monitored in the recovery ward and are usually able to return home the next day. It is important to follow the postoperative instructions and activity restrictions prescribed by your doctor.

Before discharge, your doctor will provide detailed instructions regarding further treatment and recovery.