An incisional hernia occurs when abdominal contents protrude through an incision made on the patient’s abdominal wall (old scar) from a previous surgical procedure. In this medical condition, internal organs (such as the intestine) can herniate or protrude out from the abdomen, causing discomfort and a big bulge in the abdomen, especially when coughing. Pain or gangrene of the bowel can arise from an incisional hernia, which will require emergency surgery.
Some of the common causes of incisional hernia include:
A previous history of abdominal surgery is the most important risk factor that may lead to an incisional hernia. Other risk factors may include:
The most common signs and symptoms may include discomfort and bulging near the abdominal incision. The early signs and symptoms include:
The following are considered signs and symptoms that require emergency surgery:
Once a swelling, visible protrusion, or bulge is located, doctors may suggest the following tests:
While diagnosing the incisional hernia, the doctor may schedule further surgery to repair an incisional hernia (also medically termed as ventral hernia repair).
An incisional hernia, in general, cannot be treated or repaired by using medications. In most cases, the doctor may suggest surgery as the only viable option for treating this condition. Surgery is recommended in the following situations:
The surgery may be carried out either via the laparoscopic method or open method under anaesthesia. During the surgery, the surgeon will put the hernia contents back to its original position. The defect will be closed, often with the use of a mesh, to strengthen and cover the defect.
Professional Care You Can trust
Senior Consultant Surgeon
Senior Consultant Surgeon
