Incisional hernioplasty

Incisional hernioplasty is a surgical procedure performed to repair an incisional hernia. An incisional hernia occurs when a weakness or gap forms in the abdominal muscles at the site of a previous surgical incision. This can cause abdominal organs or tissues to protrude through the weakened area, resulting in a visible bulge or lump.

Who Needs Incisional Hernioplasty

Incisional hernioplasty is typically recommended for individuals who have an incisional hernia that is causing symptoms or complications. This includes individuals with a noticeable bulge or lump at the site of a previous surgical incision, pain or discomfort in the area, or the hernia becoming incarcerated or strangulated.

When to See a Specialist

If you have a bulge or lump at the site of a previous surgical incision, experience pain or discomfort in the area, or suspect you may have an incisional hernia, it is advisable to see a specialist, such as a general surgeon. They can evaluate your condition, perform a physical examination, and determine if incisional hernioplasty is necessary.

Procedure

• Anesthesia: You will be given anesthesia, either general or regional, to ensure you are comfortable during the procedure.
• Incision: The surgeon will make an incision near the site of the hernia to access the weakened abdominal muscles and hernia sac.
• Reduction of hernia: The hernia sac and any protruding abdominal organs or tissues will be carefully pushed back into the abdominal cavity.
• Repair of the hernia: The weakened abdominal muscles will be strengthened and closed using sutures, mesh, or a combination of both to reinforce the area and prevent the hernia from recurring.
• Closure: The incision will be closed using sutures or surgical staples.
• Dressing and recovery: A sterile dressing will be applied to the surgical site, and you will be monitored in the recovery area until you are awake and stable.

Road to Recovery

Recovery after incisional hernioplasty can vary depending on individual factors and the extent of the surgery. You may experience some pain, swelling, or discomfort in the abdominal area during the initial recovery period. Your healthcare team will provide instructions on pain management, wound care, activity restrictions, and when you can resume normal activities.

Risk Management

While incisional hernioplasty is generally considered safe, there are potential risks and complications associated with the procedure, including:

• Infection
• Bleeding
• Recurrence of the hernia
• Mesh-related complications (if mesh is used)
• Adverse reactions to anesthesia

Benefits of Incisional Hernioplasty

• Hernia repair: Incisional hernioplasty effectively repairs the weakened abdominal muscles and closes the gap, reducing or eliminating the hernia.
• Symptom relief: The procedure can alleviate the discomfort, pain, and limitations caused by an incisional hernia.
• Prevention of complications: Repairing the hernia can prevent complications such as incarceration or strangulation, which can be life-threatening.

Frequently Asked Questions

1. How long does it take to recover from incisional hernioplasty?

Recovery time can vary, but most individuals can expect to resume normal activities within a few weeks. Your healthcare team will provide specific guidelines based on your condition and the extent of the surgery.

2. Will I need to wear a support garment after incisional hernioplasty?

Your healthcare team may recommend wearing a supportive garment, such as an abdominal binder or a hernia belt, during the initial recovery period. This can provide additional support to the repaired area and promote healing.

3. Can an incisional hernia recur after hernioplasty?

While the goal of incisional hernioplasty is to repair the hernia and prevent recurrence, there is a small risk of hernia recurrence. It is essential to follow your healthcare provider’s post-operative instructions, including activity restrictions, to minimize the risk of recurrence.

4. Will I have a visible scar after incisional hernioplasty?

Incisional hernioplasty involves making an incision near the hernia site, and this may result in a visible scar. However, the incision is typically made in a way to minimize scarring and can often be concealed by clothing.

5. Can I lift heavy objects after incisional hernioplasty?

It is generally recommended to avoid heavy lifting and strenuous activities for a few weeks after incisional hernioplasty. Your healthcare team will provide specific guidelines based on your individual condition and the extent of the surgery.