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Patient Q&A

Abdominal wall reconstruction,Component Separation

Asked for patient, 53 years Asked 4 Months ago

Sir, I have had an incisional hernia operation once and had a mesh fitted. The hernia has reappeared after 1 year, Now I want to ask you for advice on what would be best to do.

2 doctor answers

Dr. Ganeshlakshman L
General Surgeon
Bengaluru
Consult
You need to consult a plastic surgeon for that
Answered 4 Months ago
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Dr. Ajit Kumar Varma
General Surgeon Podiatry
Kochi
Consult
Dealing with a recurrent incisional hernia after already undergoing mesh surgery can be frustrating and concerning. However, recurrence is a known challenge in hernia repair, and there are well-established approaches to manage and fix it effectively. Even after mesh placement, a hernia can return due to a variety of factors: Mesh Issues: The mesh may have shifted, shrunk, or stretched over time. Tissue Healing: The original tissue edges surrounding the mesh may have weakened. Increased Abdominal Pressure: Chronic coughing, constipation, heavy lifting, or weight gain can put continuous stress on the repair site. Revision repairs require tailored planning compared to a first-time hernia operation. Revision surgery is generally the standard fix for a recurrent hernia. Depending on the CT scan results, options include: Laparoscopic / Robotic Revision: Minimally invasive techniques to place a new, larger mesh behind the defect. Abdominal Wall Reconstruction (e.g., Component Separation): For complex or larger recurrent hernias, surgeons release specific muscle layers of the abdominal wall to pull your natural muscles back together over a new mesh.
Answered 1 Month ago
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