Abdominal wall reconstruction

The cmay become weakened due to the development of complex hernias and the recurrence of a previously healed hernia. In such cases AWR may be required.

Dr. Samrat Jankar Created on 17th May, 21

Patients who previously had abdominal surgery many times suffer from life-altering, debilitating hernias. It is a condition wherein the internal organs bulge from the muscles that were operated on during surgery.


As a result, a painful and unsightly abdominal protrusion develops, necessitating additional surgery to correct it.  


You can undergo AWR surgery under the renowned laparoscopic surgeon in Pune, an expert in treating various forms of hernias and their complications, using newer approaches that can provide patients with the best outcomes and lowest recurrence rates.


What is abdominal wall reconstruction?

The stomach, kidneys, and small intestine are protected by layers of skin, fat, and muscle that make up the abdominal cavity. The abdominal wall muscles help to stabilize the torso and support essential functions, including breathing and urination.

The abdominal wall may become weakened due to the development of complex hernias and the recurrence of a previously healed hernia.

The surgeon must restructure the tissues of the abdominal wall in these situations. Abdominal wall reconstruction is a surgical operation that aims to restore the abdominal muscles' structural and functional integrity. 


What is the purpose of abdominal wall reconstruction?

Patients who have undergone failed hernia repair procedures are the most likely candidates for abdominal wall reconstruction. Abdominal wall reconstruction aims to heal any open wounds in the abdominal wall, restructure the tissues, and strengthen the muscle integrity.

Patients having the following symptoms may benefit from abdominal wall reconstruction:

  • Recurrent hernias
  • Incisional hernia
  • Infection that arises as a result of surgery
  • Wound developing after hernia surgery


Abdominal Wall Reconstruction Procedure

The operation is carried out under general anesthesia. Depending on the complexity of the defect, the procedure will take anywhere from two to eight hours to complete.

The surgeon can gain access to the wound through a lower abdominal incision. The doctor would then separate the abdominal wall layers and transfer them into a natural position to reshape the abdominal tissues. To reinforce and protect the abdominal muscles, he can use a surgical mesh.


What are the risks of AWR surgery?

AWR surgery is an invasive operation. This operation, like any other surgery, carries certain risks, such as:

  • Bleeding
  • Infection
  • Swelling and bruising
  • Scarring
  • Temporary numbness near the surgical site
  • Poor healing of the wound
  • Recurrence of hernia
  • Vomiting and nausea


Advantages of AWR surgery

The dynamic nature of abdominal wall reconstruction helps surgeons repair complicated hernias and abdominal wall defects that would be tough with conventional hernia repair techniques.


Pre-operative preparation for AWR surgery

The surgeon will provide pre-procedure instructions to the patient prior to surgery. You may have to fast for at least eight hours prior to the procedure. 

Patients who smoke should refrain from doing so for around two weeks before the operation. Smoking hinders the body's healing process because it reduces the amount of oxygen that passes through it.

Patients who are already taking medications should consult their doctor to see whether they should continue to take their medicines as prescribed before the surgery. 

Some medications can influence the body's ability to clot blood, which can lead to complications during or after surgery.


Post-operative recovery after AWR surgery

Following abdominal wall reconstruction, patients will remain in the hospital for about 2-7 days, depending on their general health and the nature of the operation performed. 

Patients will resume normal activities 4-6 weeks after the operation and regular exercise in six weeks. It is essential to follow all postoperative guidelines and to make and keep all necessary follow-up appointments.

Relevant Questions

Q. What is colonoscopy and how does it help in treating colon cancer?

A colonoscopy is a procedure in which doctor examines the inside of your large intestine to seek for the cause of symptoms such as abdominal pain, rectal bleeding or changes in bowel habits.


To check the inside of the colon, doctor will insert a long, flexible tube with a camera on one end into the rectum. A particular diet may be required for 24-48 hours before to the surgery. In a process called as bowel prep, the colon will also need to be cleaned using strong laxatives.


If polyps are discovered in the colon, they will be removed by a surgeon and referred for biopsy. A pathologist examines the polyps under a microscope for malignant or precancerous cells during a biopsy.

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Q. Can i know about bariatric surgery and the criteria on meeting which i will qualify for this surgery?

To be eligible for bariatric surgery, you must meet the following requirements:

  • Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40.
  • An obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
  • Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate. If you need to lose weight to meet this requirement, a nutritionist is available to help.
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