Incisional Hernia Treatment and surgery

1. Incisional Hernia Treatment and surgery

2. Incisional hernia is a type of hernia that affects many people who have undergone abdominal surgery in the past. Incisional hernia amounts to about 15 to 20 percent of hernia cases among men and women. This type of hernia is also called as ventral hernia. The location of this type of hernia is usually in close proximity or through the incision site. If you are looking for Incisional Hernia surgery in Mumbai then Dr. Aparna Govil Bhasker is specialist for hernia surgery In this type of hernia, intestine or other organs or tissues protrude through weakened surgical incisions and appear as a small or large bulge under the skin which can sometimes be tender or painful to touch.

3. Causes of incisional hernia • In cases of abdominal surgeries, the surgical incisions can lead to weakening of muscles. Thus, the contents from the abdomen tend to push through the abdominal lining. The causes of incisional hernia include • Excessive physical activity before the incision site is completely healed • Gaining weight after surgery • Pressure on the abdominal area after surgery before the incision is completely healed • Pregnancy before the cut completely heals • Chronic constipation, cough etc • Occurrence of incisional hernia • In some cases, the hernia may occur within three to six months post-surgery and in some it might take years to appear. Most cases of incisional hernia occur within one year of surgery. It starts as a small lump that becomes visible when the patient bends or coughs or sneezes. Over time it becomes larger and has a definite and painful appearance. Incisional Hernia Surgery cost may vary according to patient condition.

4. The size and shape of incisional hernia depends on the various factors such as • The size of the incision and type of suturing technique used. Incisions across the middle of the abdomen have higher changes of incisional hernia. • Age and wound healing • The weight of the patient. Overweight patients are more likely to develop incisional hernia. • Types of incisional hernia • Reducible hernia can be pushed back in and often shrink when the patient lies down. However, it should not be pushed in without medical guidance. • Irreducible hernia is when it cannot be pushed back in. This can cause the bowel to become trapped in the hernia and cause blockage in normal stool movement or block the blood supply.

5. Incisional hernia surgery • Surgical intervention is the only solution for preventing incisional hernia from becoming larger and incarcerated. The surgeon recommends operation for incisional hernia if • The hernia is growing in size with time • Has come large and is permanently noticeable • Hernia does no go down even when resting or lying down • The hernia is painful and is disturbing routine life of the patient. • Types of surgeries for incisional hernia • There are two types of incisional hernia surgeries • In open surgery the incision is made above the hernia. The protruding organs are then pushed back in and the muscle wall is repaired. The surgeon can also use a surgical mesh if needed.

6. Keyhole or laparoscopic surgery is minimal invasive. The incisions are made around the abdomen and the surgeon inserts a camera in one of the incisions and the equipment from the other incision. The surgeon is able to see the insides of the abdomen through the camera. The hernia is repaired and muscle walls strengthened. A mesh is placed. The type of surgery suitable for a patient will depend on the type of hernia, general health of patient, anatomy, and placement of hernia. Another important factor for selecting hernia surgery is the expected future physical activity. Incisional hernia surgery is done by an expert general surgeon who has experience in treating hernias.

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