Incisional hernias should be diagnosed at the right time to treat it properly. There are some minimum requirements for an Incisional hernia surgery.
A proper review of the patient’s medical history.
A proper review of all the past surgeries done by the patient.
The intensity of pain the patient is experiencing.
The pain chart-the growth model is analyzed properly.
Touch and identify the bulging or the mass.
The patient’s change with cough and bending is detected.
Size of the mass is checked and analyzed.
There should be some preparation before the Incisional hernia surgery. The major points are as follows.
The patient may be asked to lose weight to improve the results after the surgery.
It is better to stop smoking before the surgery period as it may help to get faster results.
Control diabetes is also necessary for easy surgery.
Routine blood and urine tests to be conducted before surgery.
ECG and chest X-ray to be taken before the operation.
Medications like aspirin should be discontinued.
From previous night onwards, patient should not drink or eat anything.
To deliver fluid and medicine, a tube will be placed into vein.
Patient will be given an antibiotic injection before the procedure.
A sedative will be given for seducing the patient before the Incisional hernia surgery.
There are open as well as laparoscopic procedures for surgery in case of Incisional hernia. Depending on the location of it, patient will have to lie flat on the back or sidewise. A general anesthesia will be given after that. In some cases a local anesthesia will do. To decompress the urinary bladder, a catheter will be inserted into the bladder. If the hernia is near to the stomach, the stomach also will be decompressed using a gastric tube.
An incision which is done to remove fat and scar tissue from the abdominal wall is the practice in open procedure. The outside extra tissue from abdominal wall is usually removed. Mesh will be applied and is overlapped the weakened area in all directions. The suturing is done after that. They are tied down and knotted.
In laparoscopic procedure, two to three small incisions will be done. One is used to insert laparoscope and other one to insert the surgical instruments. In this type of surgery, abdominal wall tissue removed is lesser. The surgeon can view the whole procedure through a video monitor.