This patient, 60 years old lady, had multiple abdominal surgeries. She developed a very large incisional hernia Pic 1 (Before surgery). You can see a very large swelling. On CT scan, there was a large hernia with wide separation of muscles (14 cm) & it contained large amount of abdominal contents, known as “loss of domain”, in medical language. We did “Anterior Component Separation”. You can see a satisfactory recovery after surgery Pic 2 (After surgery).

This patient, 52 years old lady, had caesarian section twice, followed by surgery for removal of uterus. When multiple such surgeries are done, abdominal muscles get weak & almost a quarter of these patients develop “Incisional Hernia”. You can see a large hernia of abdominal wall Pic 1 (Before surgery). We did “Anterior Component Separation” & put in a very large mesh. Patient did well after surgery Pic 2 (After surgery).

This patient, 60 years old lady, had an umbilical hernia, which was operated some 10 years ago, but recurred in two years. Patient was re-operated 4 years ago wherein a mesh was used. However this unfortunate lady experienced re-recurrence Pic 1 (Before Surgery).

Recurrences do occur in averagely 10 % of cases. The risk factors for increasing rates are Obesity (BMI>40), uncontrolled Diabetes, Smokers, and in patients with chronic cough or strain while urinating. It is very important to do first repair judiciously by an expert as failed repairs have more recurrences.

However, we operated this lady. Due care was taken to remove previous mesh & give her a sound repair with larger mesh. The final outcome was quite satisfactory Pic 2 (After surgery).

This patient, 66 years old lady, had surgery for perforation of appendix some 6 years ago. She developed a large hernia through the scar. She continued to ignore it as it was painless. These types of hernia if remain untreated, get larger Pic1 (Before surgery). Subsequent surgery is more difficult. We did “Anterior component separation” & she did well after surgery Pic 2 (After surgery)

This patient, 45 years old gentleman had surgery for umbilical hernia two years back. He developed recurrence in one year. When he consulted us he had fairly big hernia Pic 1 (Before surgery) with 50 BMI. We referred him to a dietician. He could reduce his weight by 20 kg in 6 months & brought BMI to 40. We, then, operated him “PCS-TAR”, Posterior Component Separation- Transverse Abdominis Release. He did well after surgery Pic 2 (After surgery)

This 70 year old lady patient was experiencing severe abdominal pain & vomiting. She was operated for cancer of the ovary five years ago. She had very large hernia with intestines entangled in it Pic 1(Before surgery), cause for severe pain & vomiting. CT scan showed obstructed hernia with a very large defect. We had to do an emergency surgery. We liberated the entangled intestine & repaired her hernia by component separation technique. Her outcome was quite satisfactory Pic 2 (After surgery).

This patient, 75 years old lady, had a giant hernia with practically all intestines remaining outside abdomen being part of it Pic 1 (Before surgery). We did PCS-TAR (Posterior Component Separation – Transverse Abdominis Release). She took little longer to settle but the resultant outcome as quite satisfactory Pic 2 (After surgery).