Ventral Hernia: Umbilical Hernia, Epigastric Hernia, and Spigelian Hernia in Moncloa-Aravaca

Ventral hernias include different types of hernias that appear in the abdominal wall, such as
umbilical hernia, epigastric hernia, and Spigelian hernia. These conditions can cause
discomfort, affect quality of life, and in some cases, lead to serious complications.

At Centro Pad, we specialize in robotic surgery and other minimally invasive techniques, offering our patients advanced treatments for a fast and safe recovery.

Ultrasound specialist examining lower abdomen of male patient

What is a ventral hernia and what are its types?

A ventral hernia occurs when part of the intestine or fatty tissue pushes through a weakened area of the abdominal wall. Within this group, there are three main types:

1.  Umbilical Hernia

This type appears around the navel or its surroundings. It is common in babies but also occurs in adults, especially in people with overweight, pregnant women, or individuals who perform intense physical exertion. If left untreated, it can grow and cause constant discomfort.

2.  Epigastric Hernia

This hernia is located in the upper abdomen, between the navel and the sternum. It forms due to a weakness in the midline of the abdomen and can be small or large, causing pain and discomfort during daily activities. In some cases, it may contain part of the intestine, increasing the risk of complications.

3.  Spigelian Hernia

This is a rare hernia that occurs on the side of the abdomen, in the area of the semilunar line. It is usually harder to detect and, in some cases, may require advanced studies for diagnosis. Its main risk is the possibility of strangulation, which can lead to a surgical emergency.

Patient's wound bandaged with sterile gauze

Symptoms of Ventral Hernia

Depending on the type of hernia, symptoms may vary, but generally include:

  • A visible lump in the affected area, which may increase with strain and decrease at rest.
  • Abdominal pain or discomfort, especially when exercising, coughing, or standing for long periods.
  • A sensation of pressure in the abdominal wall.
  • Difficulty performing daily activities due to pain.
  • Redness, warmth, and swelling in the herniated area in more severe cases.
  • Nausea and vomiting if the hernia is causing intestinal obstruction.

If a hernia is not treated in time, it may lead to strangulation, a complication that occurs when the herniated tissue becomes trapped and loses its blood supply, requiring urgent medical attention and immediate surgery.

Causes and Risk Factors of Ventral Hernia

Ventral hernias can develop due to various factors, including:

  • Genetic predisposition: having a family history increases the risk.
  • Intense physical strain: lifting heavy weights incorrectly or excessive physical activity can weaken the abdominal wall.
  • Obesity: excess weight puts pressure on the abdominal muscles and promotes hernia formation.
  • Pregnancy: changes in the abdominal wall may promote hernia formation due to muscle stretching.
  • Previous surgeries: surgical incisions can weaken the abdominal muscles and facilitate postoperative hernias.
  • Chronic cough or constipation, which increase abdominal pressure and may weaken the muscle wall over time.
  • Abdominal trauma, which can damage the muscle wall and promote hernia formation.

Diagnosis of Ventral Hernia

At Centro Pad, we use state-of-the-art equipment to accurately diagnose ventral hernias. The most commonly used tests include:

  • Physical examination, where the specialist palpates the affected area and assesses the size of the hernia.
  • Abdominal ultrasound, useful for detecting small hernias or in overweight patients.
  • Computed tomography (CT) or magnetic resonance imaging (MRI), recommended for complex cases or less visible hernias, as well as for precise surgical planning.

Early diagnosis allows for the definition of the most appropriate treatment and the prevention of future complications.

Elderly Asian male patient is hospitalized with stomachache.

Advanced Treatments for Ventral Hernia in Moncloa-Aravaca

At Centro Pad, we offer the best options to treat ventral hernia using high-tech procedures, ensuring faster recovery and less postoperative discomfort.

Robotic Surgery for Ventral Hernia

Robotic surgery, performed with systems like Da Vinci, is one of the most advanced techniques, offering benefits such as:

  • Greater precision and less damage to surrounding tissues.
  • Less postoperative pain and reduced need for painkillers.
  • Faster recovery and lower risk of complications.
  • Smaller scars and improved cosmetic results.
  • Increased safety in complex procedures.

Laparoscopic Surgery for Ventral Hernia

Laparoscopic surgery is another minimally invasive option that allows hernia repair through small incisions. Its advantages include:

  • Less postoperative pain compared to open surgery.
  • Lower risk of infections and complications.
  • Quicker return to normal activities.
  • Reduced risk of postoperative internal adhesions.

Other Minimally Invasive Techniques

  • Tension-free mesh repair, which reinforces the abdominal wall and helps prevent recurrence, allowing for quicker recovery and less discomfort.
  • Outpatient surgery, in selected cases, allowing patients to return home the same day as the procedure.
The concept of medicine . Action . Male surgeons in special special clothes, blue robes, gloves

When is surgery necessary for a ventral hernia?

Surgery is the only definitive solution for a ventral hernia. It is recommended in the following cases:

  • When the hernia causes pain or affects daily life.
  • If the bulge increases in size over time.
  • When there is a risk of strangulation, which can lead to a medical emergency.
  • If the hernia limits movement or prevents normal daily activities.

 

Our specialists at Centro Pad perform a personalized evaluation to determine the best procedure for each case.

Frequently Asked Questions about Ventral Hernia

1. Can a ventral hernia disappear on its own?

No, ventral hernias do not disappear by themselves and can grow larger over time, causing complications.

2. How long does recovery take after surgery?

With laparoscopic or robotic surgery, recovery usually takes 1 to 2 weeks. For open surgeries, recovery time may be longer.

3. Is ventral hernia surgery painful?

Thanks to minimally invasive techniques, pain is less compared to traditional surgeries.

4. When can I resume exercise after surgery?

It is recommended to avoid intense physical effort for at least 4 weeks, but this depends on the type of procedure performed.

Where can I get treatment for a ventral hernia in Moncloa-Aravaca?

At Centro Pad in Moncloa-Aravaca, we have the best specialists in advanced digestive surgery, offering cutting-edge treatments for ventral hernia.

If you have an umbilical, epigastric, or Spiegel hernia and are looking for a definitive solution, contact us and schedule your consultation at Centro Pad.