Ventral hernias occur on the abdominal wall when there is a defect in the strength layer of the abdominal wall (the fascia). This leads to tissue or organs coming through or “herniating” through the defect in the fascia. A serious concern is that an organ such as the bowel may get trapped in the defect leading to blockage then death of the bowel. Commonly, the hernia contains omentum or other fat, which causes pain.
Most ventral hernias occur from defects that develop along an incision from prior surgery. Also, a natural defect at the umbilicus from birth may expand with time. Frequent coughing, lifting heavy weights, jumping and increasing abdominal girth can cause a weakness or defect to expand, creating a hernia or making it bigger.
Dr. Seun repairs ventral hernias laparoscopically using only a few small incisions on the side of the abdomen. The tissues or organs herniating are repositioned back into the abdomen and an underlay patch called a mesh is used to cover the defect with a wide overlap, reinforcing the strength layer. This has proven to be more durable than surgeries that involve suturing the edges of the defect together, which creates tension in the tissue.