What is an Incisional Hernia?
An incisional hernia occurs when the muscles of the abdominal wall weaken or separate at the site of a previous surgical incision.
This allows part of the intestine or abdominal contents to protrude outward, appearing as a visible bulge or swelling.
Causes of Incisional Hernia:
Incomplete or weak healing of the surgical wound.
Infection at the surgical site.
Increased abdominal pressure after surgery (due to severe coughing, constipation, or lifting heavy objects).
Poor nutrition or chronic conditions that delay wound healing (e.g., diabetes).
Obesity.
Aging.
Smoking.
Symptoms of an Incisional Hernia:
Swelling or bulge at the site of a previous surgery.
Pain or discomfort in the affected area.
The bulge may enlarge with movement, coughing, or straining.
In complicated cases:
The hernia may become incarcerated or strangulated, leading to:
Severe pain
Hard, tender swelling
Skin discoloration over the bulge (a medical emergency)
When Should You See a Doctor?
If you notice a new bulge or swelling at the site of an old surgical scar.
If you experience increasing pain or persistent swelling.
If there are signs of hernia incarceration: severe pain, firm swelling, or skin color changes.
Diagnosis:
Physical examination to identify the location and size of the hernia.
Ultrasound or CT scan to evaluate the contents of the hernia and plan treatment.
Treatment of Incisional Hernia:
Surgical repair is the main solution and typically includes:
Returning the hernia contents back into the abdominal cavity.
Strengthening the abdominal wall using a surgical mesh to support the area and prevent recurrence.
The surgery can be performed via:
Open surgery (traditional method)
Laparoscopic surgery (minimally invasive), depending on the patient’s condition.
Postoperative Care:
Rest and avoid strenuous activities.
Do not lift heavy objects.
Maintain a healthy body weight.
Follow a nutrient-rich diet to promote proper wound healing.
Quit smoking.
Attend regular follow-up visits with your healthcare team.
Need More Information?
For more details or to book a consultation, contact us today.
Our medical team is ready to provide you with the best care using the latest surgical techniques.