What is eventration?
Incisional hernia or eventration is the occurrence of postoperative scar prominent because of worsening abdominal wall at this level.
What causes developing incisional hernias?
Breaking suture or layers of the abdominal wall in the postoperative scar or immediately next to it.
What favors the appearance of incisional hernias?
- Exercise immediately after surgery
- An inappropriate suture
- Postoperative wound infection
- Weight gain or existing obesity
Why worry about the occurrence of incisional hernias?
Most times eventration bag (which prominent notice) is inhabited by large intestinal loops and omentum thin. It may contain, in principle, a variety of organs in the abdominal cavity.
Eventration goes through 3 stages:
- Uncomplicated - asymptomatic, characterized only by the presence of deformities (prominent) in the scar
- Captive - when there is pain and hardly content is brought into the abdominal cavity
- Strangled - with great pain, vomiting, absence of bowel with the appearance of intestinal obstruction (if it contains intestinal loops), affecting the body content vasculature leading to large-scale operations and emergency.
Who should I contact?
The surgeon or general surgery MD is the one that establishes the diagnosis and indication elective or emergency surgery.
When is surgery necessary
The last two steps are clear indications for surgery, but for a much better recovery, we recommend that surgery be performed in the first stage, asymptomatic.
The surgery in the first two stages can also be performed laparoscopically, if small and medium. Laparoscopic surgery involves making several small incisions through which the hernia sac dissection will be performed within the abdominal cavity and placed on a mesh suitable for the type of surgery.
Classical surgery necessitates an incision in the old scar and an alloplastic process (a net installation).
Florin Turcu MD
MD General Surgery
Bariatric surgery, laparoscopic surgery and noninvasive or minimum invasive surgery