Abdominal surgery

ABDOMINAL INTERVENTION eventration

The large abdominal wall hernias (or ventral hernia) occur mostly in patients who have already suffered in the past abdominal surgery.
In these cases, the plastic surgeon will dell'eventrazione reduction, reconstruction of the abdominal wall, generally use of prosthetic materials, namely networks of restraint of absorbable material (Dexon mesh) or non-absorbable (prolene mesh).
In this type of work, especially if the hernia is large, it must always be thoroughly evaluated preoperatively pulmonary function by means of pulmonary function tests (PFR), and in the post-intervention should be adopted in all procedures to reduce the risk of acute ventilatory failure, caused by the return of herniated viscera in the abdominal cavity, which will create a new space at the expense of the chest to rise in the diaphragm muscle. Careful selection of these patients will be discarded, unless extremely urgent situations, individuals with higher body mass index (greater than 32) in which the risk would be too perioperative anesthetic high.

Often it can also occur over a skin-fat can be removed with a so-called abdominoplasty or tummy abdomen, the transverse residual scar is usually in the lower abdomen and extended by other iliac crest, a small scar around the ' navel navel may be necessary if it is to be moved from its location.

At the end of intervention are located in two drainage and it's put a vacuum that must be brought Pancera elastic possibly for three to four weeks.

As always recommended in this surgery, especially in obese patients or ex still a little overweight, it should be done antithrombotic therapy with heparin or calcium-principals at the legs until the resumption of normal motor activity

Inguinal hernias and femoral hernias and visceral, they must instead be treated by a specialist in General Surgery