Open Ventral Hernia Repair
Open surgical repair of ventral hernias with mesh reinforcement — for umbilical, epigastric, and incisional hernias.
What is Open Ventral Hernia Repair?
Open ventral hernia repair addresses hernias through the anterior abdominal wall — umbilical, epigastric, and incisional hernias — through a direct incision over the hernia defect. Mesh reinforcement reduces recurrence from 20–30% with suture alone to under 5% with mesh. Dr. Tagore Mohan Grandhi performs open ventral hernia repair for all sizes of ventral hernia, with mesh placed in the sublay (retromuscular) position for optimal integration and lowest recurrence. Complex large defects may require component separation.
How the Procedure Works
Pre-operative Assessment
Clinical examination and CT scan confirm defect size, location, and content. Nutritional optimisation and weight management planned if needed.
Incision
Direct incision over the hernia defect. Hernia sac identified, dissected, and reduced into the abdomen.
Mesh Placement
Large polypropylene or biological mesh placed in the retromuscular (sublay) position for optimal tissue integration and lowest recurrence.
Fascial Closure
Anterior fascia closed over the mesh with absorbable sutures. Closed suction drain placed if large dissection space.
Recovery
1–3 day admission depending on hernia size. Heavy lifting avoided for 6 weeks until mesh integrates fully.
Outcomes
Who Needs This Treatment?
- →Mesh reduces ventral hernia recurrence from 20–30% suture-only to under 5%
- →Retromuscular sublay mesh placement provides optimal long-term reinforcement
- →Direct access for full assessment and repair of all defect components
- →Suitable for all sizes of ventral hernia including large and complex defects
Open ventral hernia repair with sublay mesh placement gives patients the most durable long-term result. For large or complex ventral hernias, direct open access ensures every component of the defect is properly addressed.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
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