ComplexHerniaRepair

Ohio State offers leading treatments for abdominal wall defects and complex hernias

A hernia exists when part of an internal organ or tissue bulges through a weak area of muscle, usually in the abdomen. Complex hernias are complicated by issues including size and location, risk factors and infection. Often, these hernias occur as a result of:

  • Cancer
  • Infection
  • Prior abdominal surgery
  • Trauma
  • Weak abdominal muscles

Treatment

Abdominal wall defects and complex hernias are serious issues that can cause discomfort and additional health complications. Treatment is usually abdominal wall reconstruction surgery to repair the opening in the muscle wall.

Research that leads to faster recovery

The treatment capabilities at The Ohio State University Wexner Medical Center range from simple to complex hernias and abdominal wall reconstruction. Our internationally renowned doctors are the ones who write the papers and conduct the leading research. Current research includes trials to determine which are the best abdominal meshes and how they should be applied. The goal of these and other studies is to identify methods that will enhance patient recovery.

A patient-centered approach

Patients get personalized care at OSU Wexner Medical Center through our multidisciplinary, comprehensive hernia clinic. This includes the added benefit of having multiple medical departments bring their various expertise and experience right to your bedside for optimized care and better outcomes. Plastic surgeons work with general surgeons to provide consolidated care in one place. This approach enables us to solve complex problems that often can’t be solved at other institutions. It also allows:

  • Immediate access to your records
  • Convenient access to various doctors in one visit
  • Continual follow-up
  • Exceptional care

Contact us today for more information or to schedule a consultation with a specialist.

What to expect

What to expect

Your surgeon isn’t only there for you during treatment. He or she is with you every step of the way – before, during and after.

Preparing for your treatment

Your plastic surgeon can explain everything about abdominal wall reconstruction at your initial consultation and help determine what other doctors should be involved with your treatment. Contact us today for more information or to schedule a consultation with one of our plastic surgeons.

During your treatment

Abdominal reconstruction is performed using a general anesthetic and generally involves repositioning abdominal muscles, moving skin and insertion of a mesh. The surgery can be as short as two hours or last eight hours or more, depending on the patient’s age and condition, size of hernia, complications from prior surgeries and other factors. You may be required to stay at the hospital one or more nights, depending on the complexity of your case.


After your treatment

The recovery period from abdominal wall reconstruction is usually six weeks. During the recovery period, there should be no lifting of objects and no strenuous activity that raises blood pressure or heart rate. Thereafter, a gradual ramp-up of normal activities can be started. An abdominal binder (corset-type garment) is worn during the recovery period to reduce discomfort. Any pain from the surgery can be managed with medication.

OSU Wexner Medical Center has a high hernia surgery success rate. The expertise our doctors have with abdominal wall reconstruction and the mesh they typically apply during surgery account for the low rate of hernia recurrence in our patients.


A comprehensive solution for complex hernias

Jeffrey E. Janis, MD, FACS, offers insights on the unique approach that makes all the difference for complex hernia patients. Learn how general surgeons and plastic surgeons partner, using advanced techniques and technologies to solve both simple and complex problems. Hear about how they apply an individualized approach that focuses on the patient.

Our Doctors

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