Ventral and incisional hernias are among the more complex abdominal wall hernias, requiring advanced techniques and individualized care. At the Hernia Institute of Louisiana in Metairie, we provide expert evaluation and surgical solutions for patients with these challenging conditions.
Led by Dr. Treen, our team combines decades of surgical experience with the latest technologies and a deep commitment to patient outcomes.
What Are Ventral and Incisional Hernias?
Ventral hernias occur in the abdominal wall where no previous surgery has taken place. Incisional hernias, on the other hand, develop at the site of a prior surgical incision. Both can result in a visible bulge, discomfort, or pain — especially when standing, lifting, or straining. These hernias may develop due to weakened muscle tissue or strain on healing incisions.
Over time, incisional hernias can become larger and more complicated, particularly in patients with a history of multiple abdominal surgeries. Each recurrence increases the risk of future failure, making durable, well-planned repairs essential.
Personalized Treatment Planning
At the Hernia Institute of Louisiana, each hernia repair plan is highly customized. Most patients undergo a detailed preoperative physical exam and CT scan to fully understand the hernia’s location, size, and complexity. This imaging helps determine the best surgical approach and the most appropriate mesh product for reinforcement.
We emphasize that repairing these hernias without mesh greatly increases the risk of recurrence. Additionally, repairs using only sutures or with minimal mesh overlap are less effective than modern reconstructive techniques.
Advanced Repair Techniques
Depending on the patient’s anatomy and prior surgical history, Dr. Treen may recommend one of the following options:
- Laparoscopic mesh placement: Involves intraperitoneal placement of tissue-separating mesh fixed with transfascial sutures and tacks
- Open preperitoneal mesh repair (modified Stoppa technique): Offers strong coverage for larger defects
- Open components separation with underlay mesh: For complex reconstructions requiring deeper reinforcement
- Sandwich technique: Combines underlay and onlay mesh layers for additional support in high-risk patients
These methods aim to restore abdominal wall strength, reduce recurrence, and improve cosmetic and functional outcomes.
Mesh Products We Use
Choosing the right mesh is essential for a successful repair. Our practice uses several advanced materials:
- Biologic mesh (e.g., Flex HD): Ideal when there’s a risk of infection or contamination; it reduces the likelihood of mesh-related complications.
- Tissue-separating mesh (e.g., Proceed® Mesh): Used when mesh must contact internal organs, minimizing scar adhesions while ensuring strong integration with the abdominal wall.
- Lightweight mesh (e.g., UltraPro or Prolene® Soft Mesh): Used between or on top of abdominal wall layers where separation from internal organs is not needed.
Videos
Recovery After Ventral or Incisional Hernia Repair
Recovery depends on the size of the hernia, the surgical complexity, and the patient’s health. While smaller ventral hernias may be repaired on an outpatient basis, larger or more involved cases typically require hospitalization for several days.
Patients may need several weeks to a month or more before returning to work or strenuous activity. Dr. Treen and his team provide detailed aftercare guidance and are committed to your long-term recovery.
Why Choose the Hernia Institute of Louisiana for Ventral and Incisional Hernia Repair in Metairie?
Dr. Treen is a nationally recognized leader in abdominal wall reconstruction. With decades of experience, board leadership roles, and an academic position at Tulane School of Medicine, he delivers expert care grounded in surgical precision and innovation.
Our approach to ventral and incisional hernias includes:
- Comprehensive evaluation and planning with imaging
- Use of advanced mesh materials and techniques
- Individualized surgical plans for complex cases
- Ongoing follow-up and recovery support
Schedule a Consultation for Ventral or Incisional Hernia Repair in Metairie, LA
Don’t wait for symptoms to worsen. If you suspect you have a ventral or incisional hernia, schedule a consultation with Dr. Treen at the Hernia Institute of Louisiana in Metairie. Call 504-218-4922 today to begin your path to long-lasting relief.