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|
|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|