A surgeon knows too well that surgeries don’t always end “happily ever after”. Sometimes, a surgical incision becomes a weak point after healing. The weak point can be made worse by strenuous activity or weight gain, allowing internal tissue to protrude. This is called a ventral incisional hernia. Ventral incisional hernias are fairly common, developing after 15% to 20% of laparotomies.1
Ventral incisional hernias may start as a painless, reducible abdominal bulge. They always require surgery to treat definitively. If left untreated, the hernia may grow larger, and may lead to bowel incarceration, obstruction or strangulation. If these complications happen, the patient would have symptoms like pain, nausea, vomiting or constipation. Emergency surgery would be needed in these cases, so it’s better to repair the hernia earlier with elective surgery.2
Touch Surgery’s™ new simulation, Open Retromuscular Repair of a Ventral Incisional Hernia, demonstrates how to perform an open surgery to repair a ventral incisional hernia using Medtronic’s ProGrip™ self-gripping polyester mesh. This simulation shows the procedure on a midline incisional hernia, which is more common than non-midline incisional hernias. The retromuscular approach is used, where the mesh goes between the posterior rectus sheath and the rectus muscle.3,4
Open Retromuscular Repair of a Ventral Incisional Hernia is a virtual simulation designed for core program surgical trainees, or more senior trainees interested in learning a new procedure.