Incisional Hernia

Incisional hernia is protrusion through a previous surgical abdominal scar, due to wound infection/failure/increased abdominal pressure, presenting with bulge at incision that enlarges on straining. Treatment: elective surgical repair (open mesh or laparoscopic IPOM); watchful waiting if small/asymptomatic; urgent repair if incarcerated/strangulated; treat risk factors (obesity/constipation/cough/ascites); postoperative support; follow-up to detect recurrence.

Common Symptoms

Bulge at surgical scar; worse on straining; by wound failure/increased pressure

Causes and Pathogenesis

Wound weakness allows peritoneal protrusion through scar.

Treatment

Elective mesh repair; watchful waiting if asymptomatic; urgent if incarcerated

Preventive Measures

Wound care; treat obesity/constipation/cough; careful closure.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.