Incisional Hernias

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Incisional Hernias - Diagnosis

Incisional hernia is a clinical diagnosis and tests are seldom required to further substantiate the diagnosis.


Reviewing the patient's symptoms and medical history are important in establishing the diagnosis of incisional hernia.

Detailed case records, of prior surgeries, is required with emphasis on postoperative period.

The surgeon should establish the amount of pain or discomfort the patient is experiencing and if it has grown in size since it was first noticed.

The hernial area is touched (palpated) to feel for any abnormal lump and if it increases in size when the patient coughs or strains or when they bend.

If in doubt about the diagnosis - radiological tests such as an ultrasound examination or in a complex case a computed tomography (CT) may be performed. This will tell the surgeon the extent of the hernia and the contents in the bulge.


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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
murugu123  Wednesday, December 11, 2013
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.
Sarahsue  Monday, February 4, 2013
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.
Marc_Twain  Wednesday, January 23, 2013
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?
Squeeker  Friday, October 5, 2012
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.
akab66  Saturday, September 24, 2011
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Incisional Hernias - Before Surgery
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