Incisional Hernia

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An incisional hernia occurs when tissue or organs protrude through a weakened area in the abdominal wall, typically at the site of a previous surgical incision. Incisional hernias can develop weeks, months, or even years after the initial surgery, and they may vary in size and severity. Factors contributing to their occurrence include surgical technique, patient-related factors, and certain health conditions that may impair wound healing. Prompt diagnosis and appropriate medical intervention are crucial in managing incisional hernias to prevent complications and ensure optimal patient outcomes.

Do I have an incisional hernia?
You may see or feel a bulge under the skin at the previous surgery site. It can cause pain at the original place or can cause back pain as well. The majority of the incisional hernias will get progressively larger and more painful with time. We also observe that bigger incisional hernias affect adversely lung functions.

What should I do?

It is advisable to consult a hernia surgeon in order to obtain a definitive confirmation of your condition. During the consultation, the surgeon will conduct a detailed examination, which may include a review of your medical history, a physical examination, and potentially additional diagnostic tests and imaging studies such as a CT scan.

Do I need radiologic imaging?

We usually order a CT scan of the entire abdominal wall before surgery for all incisional hernias. This helps us to plan the surgery and make sure that we don't miss any hernias. If you have a previous CT scan, please bring the CD with you. If you don't have it, we can easily do the scan here.

Incisional hernia repair

Incisional hernias require surgery to repair. We offer both open repairs and laparoscopic repairs. The best approach for each patient is determined by their individual factors, such as health status and the size and location of the hernia. This is called tailored hernia surgery. Both techniques have high success rates when performed by experienced surgeons.

The course

Incisional hernia patients typically stay in the hospital for one day. They are discharged on the day after surgery. Pain is usually mild and does not interfere with daily activities. Dissolvable stitches are used, so there is no need for a follow-up appointment to have them removed. Patients can go home on the fourth day after surgery.