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How is incisional hernia repair performed?

The procedure can be done in two different ways, either by a laparoscopic approach or by a conventional open repair. In a laparoscopic incisional herniorrhaphy, small incisions are made and a tube-like camera and instruments are used to place the mesh. In the conventional open repair procedure, the hernia is accessed through a larger abdominal incision. If intestines are trapped in the hernia (incarcerated), or if they have become twisted off from their blood supply (strangulated) this often requires part of the intestine to be removed with the remaining ends reconnected (resection and anastomosis). The approach to repair depends on many factors, and operative planning often requires preoperative imaging such as CT scan. The surgeons at Advanced Surgical and Bariatrics of NJ will meet with you to discuss your best options. The main advantage of laparoscopic incisional hernia repair is reduced risk of mesh infection.


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