Incisional hernia
A guide to incisional hernia surgery
What is an incisional hernia?
An incisional hernia occurs when tissue pushes through a weakened area of the abdominal wall at or close to the site of a previous surgical incision. It can develop months or even years after an operation and usually appears as a lump or bulge beneath or alongside the surgical scar.
Some incisional hernias cause little or no discomfort, while others can result in pain or tenderness, particularly when coughing, lifting or straining. The hernia may gradually become larger over time as the weakened area of the abdominal wall stretches.
An incisional hernia will not usually repair itself. If it is painful, increasing in size or affecting your everyday activities, surgical repair may be recommended. Mr Tewari can assess the hernia and discuss the most appropriate treatment options with you.
How is an incisional hernia treated?
An incisional hernia can only be permanently repaired with surgery, although an operation may not always be necessary if the hernia is small and is not causing troublesome symptoms. If surgery is recommended, the protruding tissue is returned to the abdomen and the weakened area of the abdominal wall is repaired.
A surgical mesh is often used to reinforce the abdominal wall and reduce the risk of the hernia returning. The repair may be performed using open or laparoscopic surgery, depending on the size and position of the hernia, previous surgery and your individual circumstances.
Mr Tewari will assess your hernia and discuss the available treatment options with you before recommending the most appropriate approach for your repair.
What can I expect after incisional hernia surgery?
Your recovery will depend on the size and complexity of the hernia and the type of repair performed. Some patients can go home on the same day, while more extensive repairs may require a short stay in hospital. Pain, swelling and bruising around the surgical area are normal during the early stages of recovery.
You will be encouraged to move around as soon as you are able and gradually increase your activity as you recover. You will be given advice about caring for the wound and when you can safely return to activities such as driving, work and exercise. You may need to avoid heavy lifting for a period while the abdominal wall heals.
Mr Tewari will explain what to expect following your operation and provide appropriate aftercare and follow-up advice based on the type of repair you have received.
Book an appointment
If you believe you need incisional hernia surgery or you have been referred to us by your doctor, please contact us to book an appointment.