Complex Hernia

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Complex Hernia

Incisional hernia following previous abdominal surgery is one of the most challenging conditions of the abdominal wall. In order to best manage these difficult cases Mr Floyd has formed a unique partnership with Mr Shankar, a specialist General Surgeon. They have found that working together and combining their different skills on these difficult cases offers patients a more holistic approach, with fewer complications and better long-term outcomes. With a shared experience of over 100 such cases they have now established the Abdominal Wall Unit, the first of its kind in Europe to offer a fully integrated multidisciplinary service for these patients.
(Please note that all images are original and un-modified and consent has been kindly given for their use)


A 67 yr old lady had a ruptured colon 3 years earlier, requiring a colostomy. After reversing the colostomy she developed multiple hernias. She had an abdominal wall reconstruction by Mr Floyd and Mr Shankar using a composite synthetic mesh repair and removal of excess skin. The second picture was taken 4 months after surgery.
A 29 yr old had surgery for pancreatitis. He developed an incisional hernia and had a previous failed mesh repair. Mr Shankar and Floyd undertook a combined procedure using biological mesh repair and scar revision. The second image was taken 4 months after surgery.

A 51 yr old man who started with an umbilical hernia, after each attempted repair it became larger until Mr Floyd and Shankar operated together. Using a large composite synthetic mesh with a component release of the abdominal wall a solid repair was achieved.
Length of surgery 2-4 hours
Anaesthesia General anaesthetic
In-patient stay 3-7 nights and always performed in a hospital operating theatre

Risks and Complications :
Frequent Bruising, swelling, temporary numbness
Infrequent Infection, delayed wound healing, bleeding(haematoma), poor scarring, asymmetry, seroma

Recovery 7-10 days before socialising with friends and family
6-8 weeks off work
1st dressing at 1 week
driving 4-6 weeks
return to the gym 6 weeks
travel abroad 6-8 weeks

Follow-up As required but usually: 1 week, 6 weeks, 3 months, 6 months