Incisional Hernias

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Incisional Hernias - Symptoms

The two most common symptoms of Incisional hernias are discomfort and a bulge. The bulge of an incisional hernia is located in the incision itself.

Typically, there are no symptoms on awakening but with prolonged periods of standing, sitting, or lifting the symptoms appear and often intensify.

Incisional hernias are usually associated with:

A burning sensation,

A pressure or fullness

An ache or constant pain at the site of the hernia

An awareness that something is present in the incision that should not be there

Reducible hernia- The bulge may be always present but typically goes away when the patient lies down. The reason is that the pressure that pushes tissue into the hernia when the patients stand is eliminated when the patient lies down because the tissue goes back into the abdomen. People can often push in the bulge (reduce the hernia), by applying gentle, steady pressure over the lump.

Incarcerated hernia- If the lump does not go away, the tissue is stuck. This is known as an incarcerated hernia and is almost always associated with unrelenting discomfort. This requires early surgical attention.

Bowel Obstruction- An incarcerated hernia can lead to bowel obstruction, which causes pain, abdominal distention and vomiting. This is a surgical emergency and if left alone can put the life of the patient at risk.

Strangulated hernia- If the neck of the hernia is narrow - there is always the risk of strangulation of the hernia. In this situation the blood supply to the intestine or the structure in the hernial sac is cut off and this leads to gangrene. This can be catastrophic and fatal if not treated immediately by surgery.

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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


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.


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.


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?


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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