Small defect with scar correction
A typical case is a hernia in a scar after an appendectomy, cesarean section or laparotomy: the patient is bothered by both the protrusion and the rough scar. Open surgery solves both problems: the scar is excised, the aponeurosis is sutured with strong sutures, a 10x15 cm mesh is fixed over the top, and the skin is closed with a cosmetic suture. Seroma prevention (drainage, bandage) - ON LAY standard. Return to the office in 10–14 days; sport in 2 months.
Indications
- postoperative ventral hernias of medium and large size with wall deformation;
- hernias with excess skin and scars requiring excision;
- relapses after plastic surgery without mesh;
- cases when laparoscopic access is impractical (extensive scars, risk of anesthesia).
ON LAY technique
In open ON LAY repair, the mesh is placed over the sutured aponeurosis, covering the defect by 5 cm in all directions and fixing it around the perimeter: a technically reliable and reproducible method for medium and large postoperative hernias, allowing simultaneous excision of the scar and excess skin (improving the contour of the abdomen). Mandatory elements are active drainage of the mesh bed and a compression bandage, which reduce the risk of seromas. The choice between ON LAY, sublay and laparoscopic techniques (IPOM, E-TAR - in the “Options and prices” block) is made by the surgeon based on the size of the defect and the condition of the tissues.
