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An incisional hernia develops in approximately one-third of patients undergoing abdominal surgery. It is a condition where the tissues of the abdomen protrude through a weak area in the abdominal wall, usually on or near the site of the incision of the past surgery. Treatment for this condition is through surgery only. The surgery may be open repair, herniorrhaphy, or laparoscopic, robotics-assisted surgery.
An incisional hernia is the protrusion of tissue from the abdomen through a scar from the incision of previous abdominal surgery. Incisional hernia accounts for 15-20% of all types of hernias.
People who have undergone abdominal surgery will most likely suffer from an incisional hernia. The first 3 to 6 months after surgery are crucial, as this is the healing period. Any strenuous activity, pregnancy, or excessive weight gain can cause extra strain on the abdominal wall tissue. This causes it to stretch, and the insides of the abdomen start bulging through this weakened abdominal wall.
The treatment for this type of hernia is surgery. The hernia is pushed back, and a synthetic mesh is placed for extra support to prevent a recurrence. The surgery is either open hernia repair or laparoscopic, robotics-assisted surgery.
The treatment for an incisional hernia is based on several factors. Your surgeon will weigh in on factors like your general health, the location and extent of the incisional hernia, and your future physical activity levels. An assessment of whether the hernia has caused any damage to the results of the previous surgery and whether there is a need for additional corrective surgeries is also done before incisional hernia surgery.
Repairing an incisional hernia involves pushing back the protruding tissue in its place and placing a mesh for extra support. It can be either of the following types-
Open incisional hernia repair: This surgery involves making an incision on the abdomen, usually near the incisional scar of the previous surgery. The hernia is pushed back manually, and the abdominal wall is restitched with a mesh for additional support. The mesh also helps in preventing a recurrence.
Laparoscopic incisional hernia repair: This is a minimally invasive procedure. The surgeon makes several small incisions on the area around the hernia. He then inserts a laparoscope fitted with a camera through one of the incisions. Guided by the images transmitted by the camera, the surgeon completes the repair work.
Open incisional hernia repair is one of the surgical procedures used to treat an incisional hernia. The procedure involves making a large incision over the site of the hernia. Open incisional hernia repair is performed under general anesthesia and lasts 90 minutes to 3 hours.
The surgery is done in 2 steps:
1. The protruding abdominal tissue is pushed back into its rightful place. The weak spot in the abdominal wall is stitched. This is called herniorrhaphy.
2. A mesh is sewn into place for additional support. The mesh also helps in preventing a recurrence. This is called hernioplasty.
Surgery is the only way to treat any form of hernia. An incisional hernia requires surgery if it becomes symptomatic and creates complications. If you have been advised surgery, you must get operated on immediately.
Here is how you can prepare for the surgery-
Before The Surgery
On the day before the surgery, you will be asked to fast for at least 12 hours before the surgery. You will be administered fluids through a catheter inserted into your vein. Some blood tests, urine examination, X-ray, and electrocardiogram (ECG) will be done some days before the surgery as a pre-anesthetic routine check..
During The Surgery
The surgeon may have to perform additional repairs if the incisional hernia has caused damage to the results of the previous surgery.
Once the surgery is completed, you will be wheeled into an observation room. Your vitals i.e., the body temperature, respiratory rate, blood pressure, and pulse, will be monitored. After a couple of hours, you will be shifted to your room. Here is what you can expect after the surgery.
After The Surgery
Recovery from an open incisional hernia repair takes about 4 to 6 weeks. Here are some tips that will help you to recover quickly:
All surgeries come with their fair share of risks. A skilled and experienced surgeon can greatly minimize the risks.
Some of the risks associated with an open incisional hernia repair.
Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!
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