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Incisional Hernias

Written by Dr. Anitha Paderla | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond)
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Incisional Hernias - Recurrent hernia

A recurrent hernia is one that occurs at the site of a previous hernia repair.

The risk of recurrence is greater with obese patients or those who have had multiple earlier operations or the prior placement of mesh patches.

Some of the factors that cause incisional hernias to occur in the first place, such as obesity and nutritional disorders, will persist in certain patients and encourage the development of a second incisional hernia and repeat surgery.

The risk of complications has been shown to be about 13%.

Each subsequent time, the surgery will become more difficult and the risk of complications greater.

Postoperative infection is higher with open procedures than with laparoscopic procedures.

To prevent recurrence of hernia a few precautions maybe advised–

  • Using an abdominal corset in the early post-operative period
  • Avoiding smoking
  • Treating any chronic cough before treating hernia,
  • Avoid straining during bowel movement or passing urine.

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Comments

murugu123, India

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, United States

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, United States

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, United States

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, Ghana

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.



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