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Ventral Hernia

What is a Ventral Hernia?

A ventral hernia occurs when tissue pushes through a weakness in the abdominal muscles, causing a bulge or swelling on the surface of the abdomen. Ventral hernias can develop in different parts of the abdominal wall and may occur at the site of a previous surgical incision (incisional hernia) or spontaneously. They can increase in size over time, leading to discomfort or complications if left untreated.

Symptoms of a Ventral Hernia

Symptoms of a ventral hernia may vary depending on the size and severity of the hernia. Common symptoms include:

Visible Bulge: A noticeable bulge in the abdomen, which may become more prominent when standing or straining.

Pain or Discomfort: Especially when lifting, bending, or engaging in physical activities.

Pressure or Heaviness: A sensation of pressure in the abdomen, particularly after physical exertion or standing for long periods.

Nausea or Vomiting: In more severe cases, where the hernia becomes trapped or strangulated, nausea and vomiting may occur.

If you experience sudden pain, tenderness, or discoloration of the bulge, it may indicate a strangulated hernia, which is a medical emergency and requires immediate attention.

Causes and Risk Factors​

Ventral hernias are caused by a combination of muscle weakness and increased pressure within the abdomen. Contributing factors include:

Previous Abdominal Surgery: Incisional hernias develop at the site of a previous surgery where the muscle has weakened.

Obesity: Excess weight places added pressure on the abdominal wall.

Pregnancy: Multiple pregnancies can weaken the abdominal muscles, increasing the risk of a ventral hernia.

Heavy Lifting or Straining: Activities that put excess strain on the abdominal muscles can lead to hernia formation.

Chronic Coughing or Constipation: Persistent coughing or straining during bowel movements can create pressure that contributes to hernia development.

Diagnosing a Ventral Hernia

A ventral hernia is typically diagnosed through a physical examination, during which a healthcare provider will check for a bulge or swelling in the abdomen. Imaging tests such as an ultrasound or CT scan may be ordered to confirm the diagnosis and assess the size and location of the hernia.

Treatments for a Ventral Hernia

At Texas Advanced Surgical & Bariatrics, we offer several treatment options for ventral hernias, depending on the size and symptoms:

Watchful Waiting: In cases of small, asymptomatic hernias, your doctor may recommend monitoring the hernia to see if it worsens before considering surgery.

Surgical Repair: Surgery is often necessary for ventral hernias, especially if they are large, painful, or at risk of complications.

What Happens If Left Untreated?​

If left untreated, ventral hernias can enlarge and cause increasing pain and discomfort. More serious complications, such as incarceration (where the hernia becomes trapped) or strangulation (where the blood supply to the herniated tissue is cut off), can occur. These complications require emergency surgery to prevent tissue death, infection, or bowel obstruction.

Schedule a Consultation

If you have noticed a bulge or discomfort in your abdomen or have been diagnosed with a ventral hernia, Texas Advanced Surgical & Bariatrics can provide expert care and treatment. Our experienced team offers both open and minimally invasive hernia repair options to help you recover and prevent further complications. Schedule a consultation today to learn more about your treatment options.

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  • Methodist Plaza
  • Schertz Clinic
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