From the Research
Interparietal hernias should be repaired surgically, with laparoscopic techniques being a feasible and effective approach, as demonstrated by the most recent study in 2023 1. The repair of interparietal hernias typically involves a surgical procedure where the surgeon identifies the hernia sac located between the layers of the abdominal wall, reduces its contents back into the abdominal cavity, and then closes the defect.
- This can be done through either open surgery or laparoscopic techniques, with the choice depending on the size and location of the hernia, patient factors, and surgeon preference.
- Laparoscopic repair has been shown to be effective and safe, with benefits including reduced postoperative complications and shorter hospital stays, as reported in a study from 2019 2.
- During repair, surgeons often use mesh reinforcement to strengthen the abdominal wall and prevent recurrence.
- The mesh may be placed in various positions including onlay (above the fascia), inlay (within the defect), or sublay (beneath the muscle layer).
- Post-operative care includes pain management with medications such as acetaminophen, NSAIDs like ibuprofen, or in some cases, short-term opioids.
- Activity restrictions are typically recommended for 4-6 weeks, with gradual return to normal activities.
- Patients should watch for signs of complications including infection (redness, warmth, drainage), recurrence, or mesh-related issues.
- The use of mesh fixation is considered the best option to prevent postoperative complications, including interparietal hernias, as suggested by a case report in 2023 1.
- The choice of surgical approach and technique should be individualized based on the patient's specific condition and the surgeon's expertise, as recommended by guidelines published in 2019 3.