Bilateral (double) hernias
Groin hernias that occur on both sides of the body.
Mesh material derived from human or pig skin – used to repair the hole and reinforce the weakened tissue surrounding the hernia.
A hole in the bowel or intestine that opens to allow its contents to empty or spill into the abdominal cavity.
Surgically created opening of the colon (large intestine); a portion of the colon or the rectum is removed and the remaining colon is brought through the abdominal wall to excrete waste.
Include hernias involving abdominal wall reconstruction, hernias that have repaired multiple times, hernias associated with infections, or hernias that have resulted in bowel perforation or complications where the intestines may be leaking (fistula).
Develops in the mid-upper abdomen, anywhere along a line drawn from the lower point of the breastbone straight down to the umbilicus, or belly button.
Occurs more commonly in women; appears as a bulge in the upper thigh, just below the groin.
An abnormal connection between an organ, vessel or intestine and another structure. Fistulas are usually the result of injury or surgery. They can also result from infection or inflammation.
Occurs more to the side of the abdomen (laterally), typically because of trauma or previous surgery.
Bulge or sac of intestine, another organ or fat which protrudes through a hole or weak area in the muscles of the fascia. The fascia is the strong layer of the abdominal wall that surrounds the muscle.
A surgically created opening in the small intestine, usually at the end of the ileum – the final and longest portion of the small intestine. The intestine is brought through the abdominal wall to excrete waste.
Occurs through a scar around an incision that was made to enter the belly for a previous surgery.
Occurs more commonly in men; appears as a bulge in the groin, with the bulge potentially extending all the way down into the scrotum.
Laparoscopic component separation
A technique for repairing large and complicated hernias where the different layers of the abdominal wall are dissected away from each other and the hernia is then repaired layer by layer.
Surgically created opening from an area inside the body to the outside for the purpose of excreting waste.
Hernia that has never been repaired.
First time attempts at repair of umbilical or inguinal hernias.
Occurs around an ostomy in patients who have a colostomy or an ileostomy
Transabdominal Pre-peritoneal (TAPP) Laparoscopic Surgery
Totally Extraperitoneal (TEP) Laparoscopic Surgery
TAPP and TEP are variations on the same technique of laparoscopic inguinal hernia repair. In TAPP, the surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over possible hernia sites. TEP is different in that the peritoneal cavity is not entered and mesh is used to seal the hernia from outside the peritoneum (the thin membrane covering the organs in the abdomen). Both minimally invasive techniques have equivalent outcomes.
Occurs around the umbilicus, or belly button.
Date: April 17, 2012
Online Editor(s): Richard Petre