Incisional Hernia
An incisional hernia results from an opening or weakness in the abdominal wall after a surgical incision. According to research, about one-third of the patients develop incisional hernia after abdominal surgery. At Nova Bariatrics and General Surgery, we offer advanced diagnostic and treatment measures for incisional hernia in Irving, Arlington, and Paris TX. You can discuss your concerns with Dr. Alibhai for a comprehensive treatment plan.
Causes
This means that the wall will not be able to stay intact against abdominal pressure, and the intestines or other tissues may protrude through the incision line. The risk of developing this issue is higher among those who participate in excessive physical activities, have considerable weight, become pregnant, or perform tasks that put strain on the abdominal wall.
Although an incisional hernia may occur at any time, it is most likely to occur within the first 3 to 6 months after abdominal surgery.
Diagnosis
However, if the protruding intestine or tissues appear trapped or strangulated, it may cause further complications. In this case, we may suggest some other tests, including blood CP and imaging scans such as ultrasound, CT scan, or MRI, to assess the severity of your condition.
The treatment of this condition varies depending on the size of the hernia, its severity, your physical activity level, and your overall health. If the hernia is small in size and does not cause any discomfort, you may not need surgery. Wearing an abdominal binder can help support the abdominal wall.
If the hernia develops within a few weeks after an abdominal surgery, we may wait and see if the abdominal wall heals on its own. In case the hernia does not recover, grows in size, or becomes strangulated, we will recommend surgical options to prevent further complications.
Surgical treatment may involve open surgical repair or laparoscopic repair. In open surgery, we will incise the abdominal wall to push the tissues back into the abdomen and repair the wall using a mesh. Laparoscopic surgery is less invasive and allows you to recover within a shorter time without scarring or any other complications.
Frequently Asked Questions
What causes an incisional hernia?
An incisional hernia forms when a previous abdominal surgical incision doesn’t heal fully or tightly, leaving a weak spot. Abdominal pressure can then push intestine or tissue through that opening. About one in three patients can develop an incisional hernia after abdominal surgery, with higher risk among those who are overweight, physically strenuous, or who strain the abdominal wall.
How soon after surgery can an incisional hernia develop?
Although it can occur at any time, an incisional hernia is most likely to appear within the first 3 to 6 months after abdominal surgery, while the incision is still healing.
What are the symptoms of an incisional hernia?
The most common sign is a bulge or lump near a previous surgical scar, which may become more noticeable when you stand, cough, or lift. Some people also feel discomfort, pressure, or aching in the area. Sudden pain, nausea, or a bulge that won’t push back in may indicate a trapped or strangulated hernia and needs urgent care.
Can an incisional hernia heal without surgery?
Small, painless hernias may not need immediate surgery, and an abdominal binder can help support the area. If a hernia appears soon after surgery, we may monitor whether the wall heals on its own. However, a hernia that grows, causes pain, or becomes strangulated will require surgical repair to prevent complications.
Are incisional hernias dangerous?
Most are not immediately dangerous, but they don’t go away on their own and can enlarge over time. The main risk is strangulation, where trapped tissue loses blood supply. This is an emergency. Prompt evaluation lets us treat the hernia before it becomes complicated.
What does incisional hernia surgery involve?
Repair can be done through open surgery or laparoscopically. In both approaches, the protruding tissue is returned to the abdomen and the weak area is reinforced, usually with mesh. Laparoscopic repair is less invasive, with smaller incisions, less scarring, and generally a faster recovery.
How can I reduce my risk of an incisional hernia after abdominal surgery?
Following your surgeon’s post-op guidance is key, especially avoiding heavy lifting and strenuous activity while you heal. Maintaining a healthy weight, not smoking, managing chronic cough, and avoiding straining also support proper closure of the incision.
When should I schedule a consultation?
If you notice a bulge or discomfort near a previous abdominal incision, it’s best to have it evaluated. You can book an appointment at our Irving, Arlington, Paris, or Southlake locations for a full assessment with Dr. Alibhai.