Incisional Hernia

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. You can discuss your concerns with Dr. Alibhai for a comprehensive treatment plan. 

Causes

Surgical procedures that require abdominal incisions are one of the primary causes of incisional hernias. In the majority of the cases, the abdominal closes after surgery. However, if the surgical incision does not heal completely or as tightly as it should, it may create an area of weakness in the abdominal wall. 

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

For the diagnosis of incisional hernia, our doctor will first acquire your medical history, including questions about your past surgeries. We will also conduct a clinical examination to look for a lump or protrusion through the abdominal wall. In most cases, a physical exam is sufficient to confirm the diagnosis of an incisional hernia. 

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. 

Treatment of Incisional Hernia

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. 

Schedule An Appointment With Us
If you are looking for an advanced care facility that offers complete care for incisional hernia, visit our practice today. You can also get in touch with our team to schedule a consultation.
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