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An incisional hernia is a protrusion of the intestine, organ, or other tissue through a surgical incision. Approximately one-third of patients will develop an incisional hernia following abdominal surgery.
Incisional hernias occur when the abdominal muscle weakens owing to a surgical incision. An incisional hernia can develop for a variety of reasons; individuals who engage in excessive or premature physical activity following surgery, gain significant weight, become pregnant, or increase abdominal pressure in any other way before the incision has fully healed are especially vulnerable to an incisional hernia. Incisional hernias usually appear three to six months after surgery, but they can develop at any time.
A variety of diagnostic approaches are available to detect an incisional hernia, but they will always start with a medical history and physical examination. Your Gastro Surgeon will ask about or seek to identify your symptoms which may include the following:
If the projecting piece of the intestine becomes caught (incarcerated) within the abdominal wall, the blood supply to the intestine can be severed (strangulation), resulting in further issues such as necrosis (tissue death). If your doctor feels this is the case, more tests might include:
Additional procedures may be used if the health care professional suspects the rupture caused the movement or protrusion of organs other than the intestines.
Your doctor will select the appropriate therapy for an incisional hernia based on a variety of criteria, including your overall health, anatomy, the amount and location of the hernia, and your planned level of future physical activity. The therapy will also depend on whether the hernia has harmed the outcomes of the initial operation, necessitating further treatments before the hernia can be closed. Treatment will often include one of two types of surgeries:
This surgical treatment involves making an incision in the belly above the hernia, pushing any projecting intestine back into the abdomen, and repairing the opening in the muscular wall. Hernioplasty is a technique that repairs and reinforces the weak region with mesh.
In this minimally invasive surgical treatment, the surgeon makes multiple tiny incisions in the lower abdomen before inserting a tubelike piece of equipment known as a laparoscope, which is equipped with a camera, into one of them. The interior pictures are presented on a huge monitor, allowing the surgeon to direct tiny devices placed via the other incisions to repair the hernia.
Robotic-assisted repair is similar to laparoscopy, except the surgeon performs it from a console that controls robotic arms. In this minimally invasive surgical treatment, the hernia contents are restored to their proper location in the abdomen, and the muscular wall is healed and strengthened with mesh.
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