Articles and insights
In this section I collect articles on abdominal wall surgery: rectus diastasis, hernias, incisional hernias, the TESAR technique and the morpho-functional approach. Each article answers a concrete question, in the language I use in the clinic: clear, verifiable and free of promises.
- Symptoms and Complications of Abdominal Wall Defects — How an abdominal wall defect can move from a mild bulge to real pain, and which signs mean a hernia needs urgent surgical attention rather than watchful waiting.
- MILA: when skin retraction can avoid a long scar — How I assess skin, fat and diastasis to work out whether minimally invasive lipoabdominoplasty is really the right choice, and when the open approach is needed.
- Abdominal Wall Defects: How Are They Classified? — A plain map of the main abdominal wall defects — hernias, incisional hernias, and diastasis recti — so you can understand what your problem is and where it belongs.
- The TESAR Technique: Totally Endoscopic Sublay Anterior Repair — An explanation of the TESAR technique for ventral hernia repair: its indications, the main technical steps, and an honest account of its advantages and limits.
- Incisional Hernia After Abdominal Surgery: What to Do and When to Operate — An incisional hernia is a defect in the abdominal wall at the site of a previous surgical scar. Here I explain how to recognise it, when surgery is advisable and which repair options exist.
- Umbilical Hernia: Why It Recurs and How to Prevent Recurrence — Umbilical hernia recurrence is not simply bad luck. It reflects the size of the defect, the quality of the tissue, the technique used and factors linked to the patient. Understanding these elements helps you and your surgeon reduce the risk sensibly.
- What Actually Happens During a TESAR Procedure — I explain, step by step, what a TESAR operation involves: how I access the abdominal wall through small ports, where I place the mesh, and what a patient can reasonably expect before, during and after the procedure.
Frequently asked questions about this section
- Who writes the articles on this website?
- The articles are written and reviewed by Dr. Federico Fiori, Head of the Abdominal Wall Surgery Unit at ASST Santi Paolo e Carlo — San Carlo Borromeo Hospital in Milan.
- Do the articles replace a medical consultation?
- No. They are informational material meant to help you get your bearings and come to your consultation with sharper questions. Any treatment recommendation requires an individual clinical assessment.
- How are the articles organised?
- By category: diastasis, hernias, incisional hernias, rehabilitation, prehabilitation, patient pathway, plastic surgery and surgical techniques. The technical articles are aimed at colleagues as well.
- Can I suggest a topic?
- Yes. The questions patients send through the contact page are the main source of the topics covered.
Last updated: 2026-08-20 · Content by Dr. Federico Fiori