Plastic from the inside
From the inside, the surgeon sees the true size of the defect and accompanying changes (diastasis, additional white line defects - found in a third of patients) and covers everything with one mesh - during an open operation they are easy to miss. A composite implant with anti-adhesion coating is fixed around the perimeter; a hernial ring is sutured over it, which prevents seroma and restores the contour. The method is especially justified for defects larger than 2 cm, obesity, relapses and combination with diastasis after childbirth. Bandage 4 weeks; sports in 6 weeks.
Indications
- umbilical hernia in adults of any size does not go away on its own;
- pain and irreducibility of protrusion - risk of strangulation;
- umbilical hernia with diastasis of the rectus muscles after childbirth;
- relapse after plastic surgery without mesh.
Plastic methods
Umbilical hernias in adults are closed with a mesh if the defect is more than 1-1.5 cm - simple suturing for such sizes gives up to 30% of relapses. The laparoscopic option (IPOM with a composite mesh from the inside) is preferable for defects larger than 2–3 cm, combined with diastasis and other hernias, in obese patients; open plastic with mesh or own tissues - for small defects (page in the section on traditional operations). The navel is preserved and looks natural after healing.
Benefits of laparoscopy
Laparoscopic access is the standard of modern abdominal surgery: instead of a 10–20 cm incision, 3–4 punctures are left, the pain after surgery is much less, the patient gets up on the day of surgery and is discharged after 1–2 days, the risk of wound infection, hernias in the scar and adhesions is several times lower, and the enlargement of the camera allows you to operate more accurately. In the clinics below, operations are performed by surgeons with extensive laparoscopic experience; hospital (SKD) is included in the price according to the price list.
