Abdominal hernias

One of the main functions of the abdominal wall is containment. When the muscles and aponeuroses of this structure become weakened in a certain area, the abdominal content tends to protrude, causing what is known as a hernia.

The main abdominal hernias involve the midline, the area most subjected to dynamic loads and heavy lifting. Diastasis recti is often a precursor to epigastric hernias, since it weakens the connective fibres of the linea alba.

Types of abdominal hernia

The various types of abdominal hernia are umbilical, supraumbilical, subumbilical, epigastric, hypogastric and subxiphoidal. There are also suprapubic hernias, generally associated with previous surgeries, and less frequent hernias which do not involve the midline, but a specific area known as the Spigelian region. Inguinal and crural hernias affect the femoral and inguinal canal, and will not be discussed here.

Epigastric hernias associated with diastasis recti are very common, and it is generally wise to avoid repairing the hernia alone. For a stable and long-lasting result, it is preferable to repair both conditions. In our experience, the transabdominal preperitoneal repair of diastasis recti via robotic surgery offers a stable and long-lasting solution to epigastric hernia, resolving two defects during the same surgical session.