Umbilical / Ventral / Incisional Hernia Repair

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Evolution of Umbilical / Ventral / Incisional Hernia Repair

Surgical repair of Umbilical/Ventral/Incisional Hernias involves reducing the abdominal contents back into the abdomen and repair or the wall defect either primarily with suture or with a covered material placed over the defect, such as mesh.

Hernia surgery has been around for quite sometime, being identified as early as 1500 BC in Egyptian records and soon thereafter in Greek history. More recently in the 19th century advances in groin hernia surgery were made such as proper primary suture repair, the use of local anesthesia (Lidocaine), and the use of mesh.

With the advent of laparoscopic surgery in the 20th century and robotic surgery in the 21st, multiple approaches now exist to fix an abdominal wall hernia in addition to the standard open approach.

Depending on the severity of the hernia, hernia surgery is usually an outpatient procedure performed with general anesthesia with discharge the same day, however for more complex ventral hernias, observation in the hospital may be warranted. Most postoperative instructions include no heavy lifting or strenuous exercise for four to six weeks. 

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