Abdominal Wall
Reconstruction in Chennai

AWR is recommended for patients with large complex ventral/incisional hernias, loss of domain (where abdominal organs reside outside the cavity in a large hernia sac), recurrent hernias that failed previous repairs, or significant abdominal muscle separation (severe diastasis recti) with functional back and core problems.

It can be performed using both open and minimally invasive (laparoscopic or robotic) techniques. Dr. Kumar specializes in advanced minimally invasive eTEP repairs and robotic-assisted reconstructions, which dramatically reduce post-operative pain, scarring, and wound complications.

AWR uses high-quality, large-sized synthetic or biological meshes. The mesh is carefully placed in a retrorectus or preperitoneal space (behind the abdominal muscles) so that it is isolated from the intestines. This promotes optimal tissue integration and provides permanent reinforcement.

Due to the complexity of the procedure, hospital stays range from 2 to 4 days. Most patients return to light activities and desk jobs within 2 to 3 weeks. However, wearing a supportive abdominal binder is required for 6 to 8 weeks, and core workouts or heavy lifting must be avoided during this healing window.

Component separation is a surgical technique where the lateral muscles of the abdomen (the obliques) are released or separated. This release creates extra sliding flexibility, allowing the rectus (midline) muscles to be pulled back to the center and stitched closed over massive abdominal defects without tension.