INCISIONAL HERNIA

WHAT IS AN INCISIONAL HERNIA?

An incisional hernia is a hernia that occurs through a previously made incision in the abdominal wall i.e. the scar left from a previous surgery.

WHO IS AT RISK FOR INCISIONAL HERNIA?

• Obese patients.
• History of previous multiple abdominal surgeries.
• Activities causing increase in abdominal pressure like heavy weight lifting.
• Pregnancy.

SYMPTOMS

• Swelling over previous incision site.
• Pain in abdomen.

TREATMENT

Surgical repair of the hernia is the treatment of choice. Being a mechanical defect, it cannot be cured medically. The use of truss (hernia belt) is not recommended.

CAN SURGERY BE AVOIDED?

No. initially, it is possible that the bulge disappears on its own when you lie down. However, over a period of time, it will almost certainly enlarge. It will just get bigger and become unsightly and uncomfortable.

WHAT IS THE BEST WAY OF REPAIRING IT?

• Open or laparoscopic both repairs are good and which to opt for depends on the hernia, the intended result, the patient and the surgeon.
• The type of repair should be tailored to the individual case.
• However, a mesh is used in both the cases for best results and least chance of recurrence.

INSTRUCTIONS AFTER SURGERY

• Hospitalization is generally required for 3-4 days.
• You can be discharged home without or with drain and drain care will be taught before discharge.
• You need to use abdominal binder from immediate post-op period to the next 3 months.
• Stitches will be removed on the 7^th post op day.
• You should avoid heavy weight lifting, avoid getting constipated or straining at stools.
• Follow up is required after 3 months and then on a yearly basis.