Incisional hernias can occur after surgery on the abdominal wall. Often a recurrent hernia needs to be repaired differently to prevent the recurrence of the hernia again. Just as important are patient factors that need to be controlled such as weight, protein intake, and cessation of smoking if the patient is a smoker. If there are multiple hernias of the…
Abdominal wall hernias are best reconstructed by recreating a functional abdominal wall. That is, return all the abdominal wall musculature back to its original position. When patients cough, sneeze, or bear down to have a bowel movement, this increases the intra-abdominal pressure. As the intraabdominal pressure increases, the abdominal wall musculature exerts a back pressure on the viscera. If there…
Abdominal hernias are often uncomfortable for patients. Abdominal or ventral hernias can be repaired in many different fashions. When ventral hernias or incisional hernias have been previously repaired and recur, it is often best to undergo abdominal wall reconstruction with mobilization and medialization of the abdominal muscles and component separation. The medialization of the abdominal muscles allows for the creation…
There are an increasing number of patients who present to our Newport Beach office requesting to undergo a revision abdominoplasty. Typically patients notice that they may have an abdominal scar that is placed too high or asymmetric and would like this corrected. In addition, we are seeing more patients who would like to undergo plication of their lower abdominal muscles…
