1. What is an incisional hernia?
An incisional hernia is a bulge or protrusion that occurs through a previous surgical scar on the abdomen. It happens when the abdominal muscles don’t heal properly after surgery, allowing tissue or intestine to push through the weakened area.
2. Why do incisional hernias occur?
They usually occur after abdominal surgery due to:
•Poor wound healing
•Obesity
•Repeated strain (coughing, lifting, constipation)
•Infection at the surgical site
•Multiple abdominal surgeries
•Diabetes or chronic illnesses
3. What are the symptoms of an incisional hernia?
•Visible bulge near or around a surgical scar
•Pain or discomfort, especially while coughing, lifting, or straining
•Feeling of heaviness or dragging in the abdomen
•Nausea or vomiting (if the intestine is trapped)
4. Is an incisional hernia dangerous?
Yes, if left untreated, it can lead to:
•Obstruction of intestines
•Strangulation (cut off blood supply to the bowel)
•Infection or rupture
🔴 Hence, early surgical intervention is advised.
5. How is an incisional hernia diagnosed?
•Physical examination
•Ultrasound or CT scan to assess size, contents, and complications
6. Can it be treated without surgery?
Non-surgical options like belts or binders may offer temporary relief, but surgery is the only permanent solution. Delaying surgery can increase risks.
7. What are the treatment options?
•Open mesh repair: Placing a mesh to reinforce the abdominal wall
•Laparoscopic hernia repair: Minimally invasive with quicker recovery and definitely has complications as mesh is kept inside abdomen – so needs to be very selective in choosing
8. How long is the recovery after surgery?
•2 to 4 weeks for routine activities
•Avoid strenuous work for 6 weeks or more
•Regular follow-up is essential to prevent recurrence
9. Can an incisional hernia come back after surgery?
Yes, recurrence is possible, especially if:
•The patient is obese
•There is poor post-op care
•The abdomen is strained too soon
•Chronic illnesses are not controlled
10. How can incisional hernias be prevented?
•Follow post-surgical advice strictly
•Avoid lifting heavy weights
•Maintain a healthy body weight
•Manage conditions like diabetes
•Use abdominal binders if advised
Key Takeaway
Incisional hernias are treatable. Early detection and prompt surgery are the best ways to prevent complications. Never ignore an abdominal bulge after surgery.
For consultations or surgical care, contact:
Dr. Anandakumar
📞 9985003998 / 8142080808
