Incarcerated Ventral Hernia: Symptoms, Laparoscopic Repair & Complications

It is a relatively common diagnosis to receive, especially as age progresses and you approach your mid to late forties. You may have heard of it on a medical drama or read about it in a text, but there is a difference between recognizing the definition and knowing what a ventral hernia is on a level of anatomy.

What is a ventral hernia

A bulge of tissues being pushed through a makeshift opening made through the weak spots of your abdominal wall is a common event for millions of Americans each year. 1.7 percent of the entire population (and 4 of the middle aged and elderly samples) suffer from it. The official ICD 10 code (K43.9) states it goes by a few synonyms including midline, spigelian, and hypogastric hernia.

It can be caused by defects, damage from previous surgeries, and increased abdominal pressure (from pregnancy, unprepared lifting, obesity, or strained pooping). It’s marked as a disease of the digestive system existing without obstruction or gangrene.

What are ventral hernia symptoms?

You may or may not experience ventral hernia symptoms. Some cases are experienced with the absence of any symptom and require no medical intervention. Those that do make their presence apparent are irreversible without a procedure. Sometimes, a duration of weeks or months between the triggering event and the recognition of change. Pain or discomfort may be felt in the region the hernia is. The burning or painful sensations may be aggravated by strenuous activities such as lifting or using the restroom. In the afflicted area, a tender growth or mass may form. Nausea, fever, and vomiting may accompany diagnoses, however, these are warning signs of serious complications. When left untreated, you may develop strangulation or incarceration. These can lead to critical conditions and a trip to the emergency room.

What does it mean to have an incarcerated ventral hernia?

When you have an incarcerated ventral hernia, it poses far more than some pains and a sore abdomen. As the adjective suggested, it referred to a particular section being trapped or confined. When a weakened pocket of the abdominal wall traps your intestine where it can’t be pushed back inside your cavity, blockage may occur. When intestines are blocked, the solid or liquid waste they are sending become backed up into your body. Unable to rid itself of toxic debris of urine and fecal matter, your body may face major consequences like poisoning or getting very sick. It can also cut off blood supply which can cause death or damage to a part of your body. When a part of your body dies while inside or attached to you, the subsequent decaying can cause infection and other diseases which can kill you. Think about garden hoses. Have you ever accidentally stepped on a hose while the faucet was running? It hinders the functionality of the equipment and can break it when it’s forced to expand, and the flowing stream of water has nowhere to escape.

What is a laparoscopic ventral hernia repair?

One way to avert this disaster is to pursue surgery options. A hernia operation repairs the walls burst through while simultaneously putting everything back in place. A laparoscopic ventral hernia repair is the more common. Using a mini camera attachment on skinny tubing, allows surgeons to operate at a distance. Instead of observing the site directly, the surgeon will refer to pictures and videos on a screen. He’ll watch that as a reference while he patches you up using tiny tools pushed through a tiny incision. Robotic repair is also reported under the laparoscopic ventral hernia repair CPT code. Using mini, programed robots, surgeries can be performed with increased precision and accuracy. This is considered minimally invasive.

Are there other types of repair surgery?

Not all hernias can be addressed this way. Especially in cases where the hernia is very large, open surgeries allow for the most visibility. There are also different manners of reconstruction that can be performed in either event. You can decide whether or not you want to repair with mesh or have the tissue sewn together with traditional stitching techniques.

What are the advantages and disadvantages of mesh?

Surgical mesh is a popular option in the world of hernia surgeries.TBoth natural and synthetic fibers are available and have some benefits which doctors recommend them for. A study found that those using mesh had a shorter recovery time and were able to return to their jobs quicker. They’re also correlated with fewer problems after the operations.

Data demonstrated they can prevent an incisional hernia from developing after any abdominal procedure. They’re not perfect solution. People have reported problems with them. Many early models were pulled from the market by FDA following numerous reports of problems.

Ventral hernia repair complications

It’s not just the mesh though, ventral hernia repair complications occur. All surgeries come with some sort of risk. Whether or not you encounter them is a mix of your genes, lifestyle, fitness, or even chance. Infections following a procedure can be devastating to those with impaired immunities. There’s also the risk the repaired wall may pop, resulting in more hernias. If your temperature surpasses safe levels and your operated area feels warm to the touch, contact a physician. Many problems can be easily prevented by adhering to the guidelines instructed from the operator. Although restrictions and limitations are inconveniences, refraining from weight training for a couple of weeks is a better alternative to more pain. Don’t be stupid. Being macho and pretending to be fine will land you in trouble.

 

 

Article References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2223000/
  2. https://www.icd10data.com/ICD10CM/Codes/K00-K95/K40-K46/K43-/K43.9
  3. https://www.healthline.com/health/ventral-hernia#complications
  4. http://bulletin.facs.org/2017/04/hernia-repair-complex-abdominal-wall-reconstruction/
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820344/

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