There are so many things that are very help full to choose the right method to reduce the hernia. At Thailand, you can find out the most and effected surgeons can be done the reduce procedure in a better way so that you should move for the Thailand and draw the most sophisticated information which are helping to reach the best method to reduce the hernia. In this regard the Herniorraphy Bilateral procedure is best for all the hernia patients. So, the patient can be moved to draw the information to solving the problem in good way. There is so much information to know the procedure that a doctors can be operate the patient body to reduce the hernia in well way. Repair of the symptomatic incisional or ventral hernia, which is not at all amenable to easy primary closure is totally problematic. The therapeutic options include: fascial reapproximation after the unilateral or bilateral horizontal parasagittal incisions (the obliquus externusand abdominis) with and without the pre-operative pneumoperitoneum; bridging the fascial defect with the autologous devascularized (anterior rectus abdominissheath and lata femoris) and vascularized (abdominal fascia, myofascial, tensor fasciae latae, and myofascial or cutaneous rotational flaps); and insertion of the prosthetic or synthetic material (polytetrafluoroethylene, polypropylene, polygalactin). In presence of the abdominal infection and contaminated operative wounds that use autologous tissue is been preferred, due to risks of the infection & gastroenterocolonic fistulization.
As 1985 authors have observed outstanding results with the use of bilateral reversed anterior abdominissheath method of the incisional or ventral herniorrhaphy. Though parasagittal incision parallel to linea semilunarisand medially undoubtedly that is caused partial devascularization (and interruption of the segmental & intermuscular arteriovenous, respectively), sheath coapted in midline maintained the integrity when evaluated clinically & radiographically. This also implies that Sheath is hypometabolic, which the collateral circulation is kept or develops, or sustenance is got by contiguity with the peritoneal secretions & subcutaneous tissue.
Around twenty-three patients (around 13 males, ten females, age range 19 to 79 years) with the large symptomatic abdominal hernias of 8 to 16 months duration were treated. All of the patients had needed some multiple (3 to7) exploratory celiotomies for the traumatic, inflammatory., infectious, and neoplastic entities. To date patients have also healed every primum without recurrence. Just one patient, who previously had received the pelvic irradiation, manifested eventration and this qualitative suggests that technique has the validity for the patients needing incisional or ventral herniorrhaphy with otherwise intact abdominismuscle as well as sheath.