Ventral hernias can occur after previous abdominal surgery. Hernias can often occur from the presence of medical or surgical comorbidities. One of the most important factors that can be readily controlled is protein intake. We often tell patients that protein intake should be increased to 1-2 grams per kg of body weight so that patients have adequate protein stores to heal wounds in the early post-operative period.
Previous incisions are often used to gain access to the ventral hernia and either lower abdominal incisions can be used or the lower abdominal skin can be preserved to maintain the blood supply.
It is important for the patient to wear an abdominal binder for 6 weeks following surgery. The binder can be removed to shower but must be worn at all other times.