✦ OPEN ABDOMINAL WALL REPAIR

Open Ventral / Incisional Hernia Repair

Q: Why is open repair recommended for my hernia?

Open repair is preferred for large defects, multiple previous surgeries, dense adhesions, or when complete reconstruction of the abdominal wall is needed. It allows the surgeon to see and repair every layer thoroughly.

Q: How long is the hospital stay?

Most patients stay 3–5 days, depending on the size of the hernia and complexity of the surgery. Pain control, gentle mobilisation, and breathing exercises start from the next day.

Q: Will the scar be very visible?

The incision is usually placed along the line of the previous scar, so a new scar is rarely added. Over several months, the scar fades and softens with appropriate care.

Q: How can I prevent another incisional hernia?

Maintaining a healthy weight, treating chronic cough or constipation, gradual return to exercise, and avoiding heavy lifting for the recommended period all significantly reduce the chance of another incisional hernia.

Open surgical repair of hernias on the front of the abdomen — including incisional hernias at previous scars — with mesh reinforcement, often combined with abdominal wall reconstruction for the strongest, most durable result.

90–180 min PROCEDURE

3–5 Days HOSPITAL STAY

>90% SUCCESS RATE

3–4 Weeks RETURN TO WORK

What is Open Ventral / Incisional Hernia Repair?

Open Ventral / Incisional Hernia Repair is the surgical correction of larger or more complex hernias on the front of the abdomen, especially those that develop at the site of previous surgical scars (incisional hernias). The repair involves carefully separating the hernia sac, restoring the natural abdominal wall layers, and reinforcing them with a soft mesh — sometimes combined with reconstruction techniques for very large defects. Dr. Tejasree Vengala performs open ventral and incisional hernia repair at Lux Hospitals, Hyderabad, offering a strong, durable solution for patients with large or recurrent hernias where keyhole repair is not the most suitable option.

Suitable for patients with large, complex, or recurrent ventral and incisional hernias, especially when keyhole repair is not feasible due to size, multiple previous surgeries, or extensive adhesions.

How the Procedure Works

Anaesthesia & Preparation

Surgery is performed under general anaesthesia. The abdomen is prepared, and a urinary catheter is placed for longer procedures.

Incision & Hernia Exposure

An incision is made over the hernia, often along the line of the previous scar. The hernia sac is carefully exposed and freed from adhesions.

Sac Reduction & Defect Sizing

The hernia contents are gently reduced into the abdomen, the sac is dealt with appropriately, and the size of the abdominal wall defect is measured.

Mesh Reinforcement & Reconstruction

The defect is closed and reinforced with a strong mesh placed in the most appropriate plane. For larger defects, abdominal wall reconstruction techniques are added.

Closure & Recovery

Layers of the abdominal wall are closed meticulously. A drain is placed if needed, and patients are mobilised the next day with a structured recovery plan.

Outcomes

90–180 minDURATION

3–5 DaysHOSPITAL STAY

>90%SUCCESS RATE

6–8 WeeksFULL RECOVERY

Who Needs This Treatment?

→Effective for large, complex, or recurrent ventral hernias
→Allows complete restoration of the natural abdominal wall layers
→Strong, well-anchored mesh for durable long-term repair
→Can be combined with reconstruction for very wide defects
→Best option when previous surgeries have caused dense adhesions
→Reliable choice in patients unsuitable for keyhole repair

Large incisional hernias deserve careful planning — not a one-size-fits-all approach. Restoring the natural layers of the abdominal wall and reinforcing them with the right mesh in the right plane is what gives patients lasting comfort and a strong core.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why is open repair recommended for my hernia?+

How long is the hospital stay?+

Will the scar be very visible?+

How can I prevent another incisional hernia?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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