What is Incisional Hernia Surgery?

An incisional hernia occurs when tissue pushes through a weakened area of a previous surgical incision in the abdominal wall. It is a common type of hernia with those who have had previous surgery in the area. This hernia type can develop months or years after surgery, often due to poor healing, obesity, infection, or excessive strain.

Incisional Hernia

Causes of Incisional Hernia

Abdominal wall hernias are caused by a combination of weakness of the connective tissue (called fascia) and increased pressure in the abdomen. Risk factors include congenital weakness, heavy lifting, obesity, pregnancy, previous surgeries, aging, and smoking.

Incisional Hernia Symptoms and When to Seek Immediate Medical Attention

Incisional hernias are a type of hernia that can cause a bump or bulge at a prior incision site, pain or discomfort around the incision especially with activity or lifting, and feeling of pressure or weakness in the abdomen. Seek emergent medical attention if you have severe, sudden abdominal pain or if the hernia becomes firm, tender or discolored, or if you experience nausea, vomiting or inability to pass gas or stool. These may indicate complications of hernias including incarceration, obstruction, or strangulation.

How AreĀ  Incisional Hernias Treated?

Incisional hernia repair involves surgical repair with mesh to reinforce the weakened area and prevent recurrence. Surgery is usually performed as an outpatient procedure by minimally invasive techniques. Surgical procedures include laparoscopic surgery or robotic surgery and in some cases open hernia repair.

Do I Qualify For
Hernia Surgery?

  • In-Person OR Video Call
  • Appointments available this week
  • Zero CO-Pay Consultation with PPO Insurance

Potential Complications

Complications of abdominal wall hernia surgery can include infection at the surgical site, which may require antibiotics or, in severe cases, surgical drainage. Fluid buildup, known as a seroma, or blood accumulation (hematoma) may cause swelling and discomfort, though these often resolve on their own. Some patients experience chronic pain or nerve irritation, particularly if nerves are affected during the procedure. Recurrence of the hernia is another potential complication, especially if there is excessive strain on the repair site or if postoperative activity restrictions are not followed. Mesh-related issues, such as migration, rejection, or adhesions to surrounding organs, can also occur, potentially leading to further interventions. In rare cases, damage to nearby structures like the intestines or blood vessels may happen, requiring additional surgical correction. Patients may also experience temporary difficulty with bowel movements due to postoperative swelling or the effects of anesthesia, and in some cases, more serious complications like bowel obstruction can develop if the intestine becomes trapped in scar tissue.

Preventive Measures

Preventing abdominal wall hernias involves strengthening the core muscles, minimizing excessive strain, and maintaining a healthy lifestyle. Keeping a healthy weight is essential, as excess abdominal fat increases intra-abdominal pressure, weakening the abdominal wall over time. Engaging in regular core-strengthening exercises, such as planks and controlled abdominal workouts, helps reinforce the muscles that support the abdominal wall. Proper lifting techniques, including bending at the knees and using the legs rather than the back or abdominal muscles, help prevent unnecessary strain that can lead to hernias. Avoiding chronic straining due to constipation by maintaining a fiber-rich diet and staying well-hydrated can reduce abdominal pressure. Managing chronic coughing, whether from smoking or respiratory conditions, is also important, as repeated forceful coughing can weaken the abdominal wall over time.

If undergoing abdominal surgery, following post-operative care guidelines, such as avoiding heavy lifting or other strenuous activity, and allowing incisions to heal fully, reduces the risk of developing an incisional hernia and ensures a smoother recovery period.

While some hernias occur due to genetic predisposition or prior surgical weaknesses, these preventive measures significantly lower the risk of developing an abdominal wall hernia.

Pain

At Torrance Hernia Center, we approach post-operative pain with multi-modality treatments to optimize your comfort during recovery from surgery while minimizing narcotic use post-operatively. This may include anti-inflammatory medications such as acetaminophen or NSAIDs, muscle relaxers, ice or cold pack therapy, abdominal binders, and narcotic pain medications.

Recovery Time

  • Typically lasts 4-6 weeks
  • Depends on the surgical technique used
  • Varies based on individual recovery speed

Incisional Hernia Surgery Los Angeles

For those seeking a hernia specialist or hernia treatment in Los Angeles, CA look no further than Torrance Hernia Center. Our team of highly-trained board-certified professionals provide exceptional care for all types of hernias, including incisional hernia surgery, hiatal hernia repair, femoral hernia repair, epigastric hernia, umbilical hernia, and hiatal hernia.

Our surgeons are able to provide patients with various treatment options responding to the symptoms of a hernia, ranging from open hernia repair surgery, laparoscopic surgery, and robotic hernia repair. From initial consultation to post-op, patients receive effective treatment plans to ensure optimal outcomes.

At Torrance, our goal is for patients to return to normal activities and daily life quickly, with as minimal of a hospital stay as possible. We offer minimally invasive surgery options that result in less pain, small incisions, and faster recovery time.

Our facility serves the greater Los Angeles area, including patients from Santa Monica, Beverly Hills, and throughout Southern California, providing the highest quality surgical care with advanced surgical techniques. Reach out today with an inquiry, we are happy to help you on your health journey.

Do I Qualify For
Hernia Surgery?

  • In-Person OR Video Call
  • Appointments available this week
  • Zero CO-Pay Consultation with PPO Insurance

Pregnancy & Hernia Care

Talk with your surgeon if you are pregnant or planning pregnancy to determine management of your hernia.