RSS Email Print This Page Comment bookmark
Font : A-A+

Incisional Hernias - Causes

Patient-related factors
Patient factors are diseases or illnesses that impair wound healing. The three principle examples are infection, malnutrition and diabetes.


An infection of the surgical incision impairs wound healing. In part, this may be because sutures and tissues are destroyed by the infection.

Malnutrition leads to poor wound healing because the nutrients necessary for good healing are present in insufficient quantities or are completely absent. Malnutrition may be a generalized condition in which proteins and energy are deficient, or a specific condition, such as lack of a specific vitamin. Scurvy, which results from vitamin C deficiency, is an example of a deficiency in one key nutrient that leads to poor wound healing.

Diabetes Mellitus also impairs wound healing and is associated with a higher incidence of hernia formation than the general population. Diabetes affects wound healing by impairing the function of white cells, predisposing the patient to infection and limiting the ability of new blood vessels to grow into the healing area.

Chronic illness of any type also affects wound healing through problems with nutrition and a general increase in inflammation.

Technical factors

The principle technical factor that leads to an Incisional hernia is too much tension on the incision when it is closed. This can lead to:

Tearing- Tension sutures can tear through the tissue when added stress is placed on it, such as during coughing or lifting.

Decreased blood supply- Excessive tissue tension can also reduce blood flow to the tissue around the suture itself. This leads to breakdown of the tissue and the suture pulls through.

Other technical factors unrelated to tissue tension may also play a role. For example the sutures may have been placed in weak tissue, the wrong layer of tissue may have been sutured, the suture may have broken or the suture may not have been strong enough for the tension it is later subjected to.

Related Links

Show More Related Topics

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions
murugu123 

i am 54 years lady at present i have an incisional Hernia, 4 years back i had undergone operation uterus removing whether immediate surgery is required but i don't have any pain

Sarahsue 

10 days Post op from ingiunal repair recurrence and femoral hernia repair (same side). Cement Twinkie at the surgery site. Anyone? I am a 42 y/o female.

Marc_Twain 

My 73 yr old mother needs umbilical hernia repair. Skeptical about medical procedures, she is put it off til it is bigger. Does not like idea of Biologic implants. What is safest mesh material to use? Or, in general, which mesh material has the least complications / lawsuits ? Polypropylene, polyester,...what ? Thank you for any anticipated answer.

Squeeker 

I am scheduled to have a rather large Incisional Hernia repaired, because it is such a large hernia my surgeon has recommended using MESH. I have heard a lot of negative things regarding MESH and do not know which Mesh would be the safest to use. Do you have some suggestions on which MESH would be best?
I did express my concerns to my surgeon but there was no recommendation. Also I was told that if you could have a Cosmetic Surgeon join in with your Surgeon you may have much better results. Is this true?

akab66 

Hi also had umbilical hernia repair surgery 2 months ago and am experiencing burning sensation and pain around the incision. I am passing gas frequently and feel tired often. Have had issues with bloating and pain in the upper part of my stomach for some time and have been told there may be some adhesions. Its just a pity the Doctors do not tell you much about the recovery process and they make you think the surgery is just a simple procedure.

View all Comments (13)

Surgical Procedures Index

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Surgical Procedures Comments
Click to view
Incisional Hernia animation

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor
Advertisement

Stay Connected

  • Available on the Android Market
  • Available on the App Store

Facebook