Incisional Hernia

What is an Incisional Hernia?

An incisional hernia occurs when tissue, such as part of the intestine, pushes through a weak spot in the abdominal wall at the site of a previous surgical incision. These hernias develop after abdominal surgery, particularly if the incision doesn’t heal properly or if pressure is placed on the weakened area. Incisional hernias do not resolve on their own and usually require surgical repair.

Symptoms of an Incisional Hernia

The symptoms of an incisional hernia can vary depending on the size and severity of the hernia, but common symptoms include:

Bulge or Swelling: A noticeable bulge at the site of a previous surgical incision, particularly when standing or straining.

Pain or Discomfort: Especially when lifting, bending, or coughing.

Pressure or Heaviness: A feeling of pressure in the abdomen, especially after physical activity.

Nausea or Vomiting: In more severe cases where the hernia becomes trapped or strangulated.

If you experience sudden pain, nausea, vomiting, or difficulty passing gas, it could be a sign of a strangulated hernia, which requires immediate medical attention.

Causes and Risk Factors

Incisional hernias are typically caused by a combination of muscle weakness and pressure. Common contributing factors include:

Previous Abdominal Surgery: Hernias form at the site of a prior incision.

Heavy Lifting or Straining: Putting excess pressure on the abdominal muscles can increase the risk of hernia formation.

Infection or Poor Healing: An infection or slow healing process can weaken the incision site.

Obesity: Extra weight puts additional strain on the abdominal wall.

Chronic Coughing or Constipation: Persistent coughing or straining during bowel movements can lead to hernia formation.

Diagnosing an Incisional Hernia

A physical examination by a healthcare provider is typically enough to diagnose an incisional hernia. The doctor will look for a bulge at the site of a previous surgery, and imaging tests such as an ultrasound or CT scan may be used to confirm the diagnosis.

Treatments for an Incisional Hernia

At Texas Advanced Surgical & Bariatrics, we offer several treatment options for incisional hernias, depending on the size and complexity of the hernia:

Watchful Waiting: In cases of small, asymptomatic hernias, doctors may recommend monitoring the hernia to see if it worsens over time before recommending surgery.

Surgical Repair: Surgery is often necessary to repair incisional hernias, especially if they are large, painful, or at risk of complications.

What Happens If Left Untreated?

If left untreated, incisional hernias can grow larger and become more painful over time. The hernia may also become incarcerated (trapped), preventing the intestines or other tissue from moving back into the abdomen. This can lead to strangulation, a condition where the blood supply to the herniated tissue is cut off, causing tissue death and requiring emergency surgery. Prompt treatment is recommended to prevent these serious complications.

Schedule a Consultation

If you have been diagnosed with an incisional hernia or suspect you may have one, contact Texas Advanced Surgical & Bariatrics today to schedule a consultation. Our team of experts will evaluate your condition and recommend the best surgical option to help you regain your health and quality of life.

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