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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 - Surgery

Incisional hernias need to be surgically corrected to prevent complications such as strangulation.

Incisional Hernias should be repaired surgically at a convenient time after they are discovered. Unfortunately, there is no other treatment other than surgery that has significant success.

Surgical Options are:

  • Open Surgical Repair
  • Laparoscopic Surgical Repair

In most cases, the open approach is the best and safest way to repair an incisional hernia. However, there are situations in which patients may benefit from the laparoscopic approach. Incisional hernias is not like inguinal hernias where advantages are present for most patients with the laparoscopic approach.

At present many surgeons do prefer to repair the hernia using the laparoscope. However this will depend on the complexity of the hernia and adhesions of the structure within the abdomen to the hernia. Occasionally the surgeon may start with the laparoscopic approach and later convert to the open method if the inside of the abdomen looks complex.

The arrival of daVanci Robotic system (Intutive systems) for laparoscopy has recently added a new dimension to the repair of incisional hernias laparoscopically and many surgeons are gaining expertise and are able to tackle the most complex cases laparoscopically.


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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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