Incisional Hernia
Incisional hernias can develop after abdominal surgery. They happen after up to 15 to 20 percent of abdominal operations involving incisions. Certain factors may increase or decrease your risk for developing an incisional hernia.
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Symptoms
- Nausea and vomiting
- Fever
- Burning or aching near the hernia
- Abdominal pain and discomfort, particularly around the hernia
- Faster heartbeat than usual
- Constipation
- Diarrhea
- Thin, narrow stool
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Causes
- Putting too much pressure on your abdomen
- Becoming pregnant before the cut fully heals
- Getting back into physical activities too soon after surgery
Complications
Complications of Incisional Hernia include:
Incarceration
Strangulation
Bowel obstruction
Pain and discomfort
Cosmetic issues
Wound infection
Recurrence
Seroma or hematoma formation
Mesh-related complications
Chronic post-surgical complications
FAQ
Risk factors include obesity, poor wound healing, excessive strain on the surgical incision during the initial recovery period, and certain medical conditions such as diabetes. Preventive measures may include proper wound care, minimizing strain on the surgical site, and following post-operative activity restrictions.
Diagnosis typically involves a physical examination by a healthcare provider, who may palpate the abdominal area to identify the presence of a bulge. Imaging tests such as ultrasound, CT scan, or MRI may be ordered to confirm the diagnosis and evaluate the extent of the hernia.
Treatment options include watchful waiting with observation, lifestyle modifications, hernia trusses or belts for symptom management, and surgical repair. The choice of treatment depends on factors such as the size and location of the hernia, symptoms, and overall health status of the individual.
Risks and complications may include infection, bleeding, wound healing problems, recurrence of the hernia, chronic pain, nerve injury, and complications related to anesthesia. Your surgeon will discuss these risks and benefits with you before the procedure.
Recovery time varies depending on the type of surgery performed, the size of the hernia, and individual factors. Generally, most people can resume light activities within a few weeks after surgery but may need several weeks to fully recover.
Yes, lifestyle modifications such as avoiding heavy lifting, maintaining a healthy weight, quitting smoking, and managing conditions such as chronic cough or constipation can help reduce the risk of hernia recurrence
Depending on the size and location of the hernia, and the type of surgery required, an incisional hernia may pose challenges during future surgeries or medical procedures. Your healthcare provider will evaluate the hernia and provide guidance based on your individual circumstances.
Your doctor will provide specific instructions for follow-up appointments based on your individual case. You should seek medical attention if you experience severe pain, swelling, redness, fever, or signs of infection at the surgical site, or if you notice a recurrence of the hernia.
