The abdominal hernias are defects in the abdominal wall, natural, or caused by previous surgeries, which are characterized mainly by an asymmetric volume increase, with or without pain, in any area of the abdomen (anterior wall – stomach) and in the inguinal region (groin and flanks). These defects may cause intense pain and allow the incarceration of intestine segments. The biggest risk is the progression to the intestinal necrosis. Thus, hernias may progress from a condition that causes little discomfort to a crisis situation with imminent risk of death.
This way, most of the hernias must be operated.
Hernias are not rare. 1/4 of adult men have groin hernia. 40% of the abdominal surgeries performed with incisions develop incisional hernias.
Unfortunately, the only way to treat a hernia is a surgery. Hernias are structural defects and as such, can only be repaired through specific surgeries. Operating a hernia means covering the defect (hole) with a mesh.
The meshes are pieces of synthetic or biological tissue, which are integrated to the organism and promote the coverage and the protection of the hernia against the incarceration. Besides, they provide the patients with hernia the correction of the abdominal wall and the control of the pain provoked by the defect. There are dozens of different mesh types and materials. Each one can and sometimes must be used in specific situations. However, knowing how to use, handle and choose the most adequate mesh for each situation requires broad knowledge of the subject. In a recent past, there were few options in the Brazilian market. Nowadays almost all the meshes used abroad are available in Brazil.
Another very important factor in the hernia treatment is the choice of the surgical technique to be used. Basically, a hernia can be operated on in two types of surgeries: open or video surgery. The open techniques are still used in some situations, such as large hernias. The need for large reconstructions of the abdominal wall still require surgeries with big incisions. However, these are exceptions. The majority of the hernias are considered small or médium. For those, the best option in the video surgery.
The IJP has been performing vídeo surgery for abdominal hernias for 15 years. We are one of the groups with the largest experience in the country in this type of technology. Through the Post-Graduation course at IJP, hundreds of Brazilian and Latin American surgeons have learned these techniques and are able to provide their patients with a type of procedure that is faster, more precise, and that causes much less pain and a faster recovery.