Abdominal Wall Hernias
From simple repairs to complex abdominal wall reconstruction
Overview
Abdominal wall hernias occur when a weakness in the muscle or connective tissue allows internal tissue to protrude. Hernias can range from small and symptom-free to large, complex defects that significantly impact daily life.
Dr von Papen manages the full spectrum of abdominal wall hernias, from simple repairs to highly complex reconstructions, using modern, evidence-based surgical techniques tailored to each patient.
Types of Hernias Treated
- Umbilical — near the belly button
- Epigastric — between breastbone and navel
- Spigelian — through the lateral abdominal wall
- Incisional — at the site of previous surgery
- Complex defects — large, recurrent, or with loss of domain
Symptoms
- A bulge or swelling
- Pain or discomfort with lifting or exercise
- A dragging sensation
- Nausea or bloating
- Skin changes over the bulge
- Reduced ability to perform daily activities
Treatment Options
Dr von Papen offers a wide range of repair methods tailored to the type and complexity of the hernia:
- Mesh or non-mesh repairs, depending on the situation
- Laparoscopic or robotic surgery for faster recovery
- Open hernia repair for large or complex defects
- Full complex abdominal wall reconstruction for advanced cases
Complex Abdominal Wall Reconstruction
For advanced or challenging hernias, reconstruction may involve:
- Component separation techniques — releasing or repositioning muscle layers to close the midline without tension
- Mesh reinforcement — placed retromuscular, onlay, sublay, or intraperitoneal depending on anatomy
- Minimally invasive approaches — robotic or laparoscopic where possible
- Removal of old mesh or scar tissue — in cases of failed previous repairs
Recovery & Outcomes
With modern techniques, most patients experience:
- Improved abdominal strength and core function
- Resolution of pain and discomfort
- Improved posture and physical activity
- Lower risk of recurrence with modern mesh techniques
- Better overall quality of life
Helpful Resources
Better Health — Hernia Surgical Procedures • Hernia Info — Mesh Repair Options