Incisional Hernia

What is an Incisional Hernia?

An incisional hernia develops at the site of a previous abdominal surgical scar. It occurs when the abdominal wall fails to heal completely, allowing internal tissues to protrude through the weakened area.

Causes and Risk Factors

  • Previous abdominal surgery
  • Wound infection after surgery
  • Obesity
  • Diabetes
  • Smoking
  • Chronic cough
  • Poor wound healing

Common Symptoms

Swelling or bulge at or near a surgical scar

Discomfort or pain, especially on straining

Gradually increasing size of swelling

Diagnosis

Diagnosis is usually clinical. CT scan may be advised in larger or complex hernias to assess size and contents.

Treatment

Surgical repair is the recommended treatment. Depending on size and complexity, options include:
  • Open mesh repair
  • Laparoscopic repair
The surgical approach is determined after detailed evaluation.

Possible Complications (If Untreated)

Enlargement over time
Intestinal obstruction
Strangulation (rare but serious)

Early evaluation allows better planning and improved outcomes.

About the Author of This Information

Dr. Rajeev Kapoor is a practicing surgeon based in Mohali, Punjab. He provides clinical services in the field of gastrointestinal, colorectal, and general surgery. This website is intended for informational and educational purposes only.

Disclaimer

The information provided on this page is for general educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Treatment decisions should be made after consultation with a qualified medical professional, based on individual clinical evaluation.
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