Ventral Hernia

Overview

Ventral Hernia

Ventral hernia develops through the front abdominal wall and may occur around a previous surgical scar, weak muscle area or natural abdominal wall defect.

Treatment depends on the hernia size, contents, symptoms, previous surgery and abdominal wall strength. Surgery may involve open or laparoscopic repair with mesh when suitable.

Care Highlights

Common Consultation Reasons

• Bulge on the front of the abdomen
• Swelling near a previous surgery scar
• Discomfort while coughing, standing or lifting
• Increasing size, pain or difficulty reducing the bulge

Planning

Planning for ventral hernia repair

Ventral hernia repair is planned by assessing the abdominal wall, previous surgery history and risk factors for recurrence.

• Clinical examination of the hernia site and defect.
• CT scan or sonography review when the defect is large or recurrent.
• Discussion of open, laparoscopic or mesh-based repair options.
• Optimization of cough, constipation, diabetes, weight and smoking where relevant.

Treatment

How ventral hernia is repaired

Surgery aims to close or reinforce the abdominal wall weakness and reduce the chance of the hernia returning.

• Hernia contents are assessed and safely reduced.
• The abdominal wall defect is repaired using an approach suited to the case.
• Mesh may be placed to strengthen the repair when appropriate.
• Larger or recurrent hernias may need more detailed abdominal wall planning.

Recovery

Recovery and follow-up

Recovery guidance is tailored to the operation, diagnosis and overall health. The care plan includes medicines, diet, activity, wound care and follow-up instructions.

• Avoid heavy lifting until the repair has had time to heal.
• Use abdominal support only if advised for your case.
• Prevent constipation and persistent coughing during recovery.
• Report fever, wound redness, severe pain or sudden swelling.