Incisional Hernia: Symptoms, Causes, Diagnosis, and Treatment

What Is an Incisional Hernia?

An incisional hernia happens when tissue pushes through a weak spot in the belly wall. This weak spot is often where you had surgery before. Because the area did not heal fully, a bulge or lump can form. Many people notice this bulge near their old surgical scar. Incisional hernias are a type of abdominal wall hernia after surgery. They can happen weeks, months, or even years after the first operation.

Common Symptoms and Warning Signs

It is important to know the signs of an incisional hernia. Early treatment can help prevent problems. Look for these symptoms:

  • A soft bulge or lump near a surgical scar
  • Pain or discomfort, especially when lifting or coughing
  • Swelling that gets bigger when you stand or strain
  • Feeling of heaviness or pressure in the belly
  • Redness or tenderness around the bulge
  • Sometimes, the hernia can cause serious problems. For example, if the bulge becomes hard, painful, or you feel sick, seek medical help right away. These may be signs of a blocked or trapped hernia, which needs urgent care.

    Main Causes and Risk Factors

    Incisional hernias can develop for many reasons. After surgery, the belly wall may not heal as strong as before. This makes it easier for tissue to push through. Several risk factors increase your chances:

  • Having a large or deep surgical cut
  • Infection at the surgical site
  • Being overweight or obese
  • Chronic cough or heavy lifting
  • Poor nutrition or weak immune system
  • Smoking, which slows healing
  • Repeated surgeries in the same area
  • Even so, not everyone with these risk factors will get an incisional hernia. But knowing them can help you take steps to lower your risk.

    How Doctors Diagnose Incisional Hernias

    Doctors use several ways to check for an incisional hernia. First, they will ask about your symptoms and medical history. Next, they will examine your belly for any bulges or pain. Often, the hernia is easy to see or feel. However, sometimes more tests are needed. For example, your doctor may order:

  • Ultrasound: Uses sound waves to see inside your belly
  • CT scan: Gives a detailed picture of the hernia and nearby tissues
  • MRI: Shows soft tissues and helps plan surgery if needed
  • These tests help your doctor decide the best treatment for you. They also check if any organs are trapped in the hernia.

    Treatment Options for Incisional Hernia

    Treatment for incisional hernia depends on your symptoms and health. In many cases, surgery is the best way to fix the hernia. But sometimes, doctors may suggest other steps first. Let’s look at your options:

    Non-Surgical Treatments

  • Wearing a support belt or binder to ease discomfort
  • Avoiding heavy lifting or straining
  • Managing weight and treating cough or constipation
  • These steps may help if your hernia is small and not causing pain. However, they do not cure the hernia. The bulge may get bigger over time.

    Surgical Treatments

    Most people need surgery for incisional hernia repair. There are two main types:

  • Open surgery: The surgeon makes a cut over the hernia and repairs the weak spot. Often, a mesh is placed to strengthen the area.
  • Laparoscopic surgery: The surgeon uses small cuts and a camera to fix the hernia. This method may lead to faster recovery and less pain.
  • Your doctor will help you choose the best option. Surgery is usually safe, but like all procedures, it has risks. For example, infection, bleeding, or the hernia coming back can happen. Still, most people recover well after incisional hernia repair.

    Recovery, Lifestyle Tips, and Prevention

    After surgery, most people can return to normal activities in a few weeks. Even so, it is important to follow your doctor’s advice. Here are some tips for a smooth recovery and to help prevent another hernia:

  • Keep your wound clean and dry
  • Avoid heavy lifting for at least six weeks
  • Eat healthy foods to support healing
  • Stop smoking to improve recovery
  • Maintain a healthy weight
  • Follow up with your doctor as advised
  • In addition, if you notice any new bulges, pain, or swelling, contact your doctor right away. Early care can prevent serious problems.

    When to See a Doctor

    If you think you have an incisional hernia, do not wait. See a doctor for a full check-up. Quick action can help you avoid pain and other issues. For those looking for incisional hernia treatment in their city, many hospitals and clinics offer expert care. Ask your doctor about the best options for you.

    Conclusion

    Incisional hernias are fairly common after abdominal or belly surgery. With early diagnosis and the right treatment approach, most people recover well and regain their normal routine. Taking care of your health, avoiding heavy strain, and following your doctor’s advice can significantly reduce the risk of complications.

    For personalised guidance, accurate diagnosis, and expert treatment options, consult the specialists at Narayan Swaroop Hospital, Prayagraj.