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Published on May 21, 2015
Repair Procedure of a Large Incisional Hernia performed by Mr. Charles Leinkram of the Melbourne Hernia Clinic.
Incisional hernias occur at the site of a previous abdominal operation. The common types of abdominal operations which lead to incisional hernias are those for bowel surgery or gynaecological surgery. Others occur following stomach or gallbladder surgery and even at the entry site used for “key-hole” surgery, (i.e, the “port”).
It has been reported that after major abdominal operations, incisional hernias occur in up to 30% of cases. The reasons for this are that a long incision is made and the tissues are sutured together over an extensive area. Following major surgery there is often abdominal distension with gas or fluid, weakening of the tissues from infection or from excessive straining, e.g. vomiting or constipation. In addition, systemic factors such as poor nutrition, Diabetes or smoking also affect wound healing.
All of these factors may lead to a break down of the abdominal wound. This may occur very soon after surgery or even years later.
WARNING: Viewer discretion advised. This video demonstrates a technique for a repair of a direct inguinal hernia under sedation and local anaesthetic. This video contains actual footage of the surgery being performed. This operation was performed by the Melbourne Hernia Clinic in Melbourne Australia. For more information visit the Melbourne Hernia Clinic website http://www.hernia.net.au