Incisional Hernia

An incisional hernia occurs when tissue or part of an organ pushes through a weakened area in the abdominal wall, often at the site of a previous surgical incision. This type of hernia is common after abdominal surgery and can cause discomfort or complications if left untreated. 

At Detroit Weight Loss Center, with locations in Commerce Charter Township and Southfield, Michigan, we specialize in diagnosing and treating incisional hernias. Our experienced team is dedicated to providing personalized care to ensure you receive the best treatment for a successful recovery. Call us today to schedule an appointment! 

What is a Ventral/Incisional Hernia?

A ventral hernia is a type of hernia that occurs in the abdominal cavity, where part of the intestine or other tissue pushes through a weak spot in the abdominal muscles. When this weakness develops at the site of a previous surgery, it’s referred to as an incisional hernia. 

This condition can affect anyone who has undergone surgery in the abdominal region, and it can range in severity depending on the size and location of the hernia.

Symptoms of an Incisional Hernia

Common symptoms of an incisional hernia include:

  • A visible or palpable bulge at the site of the previous surgery
  • Discomfort or severe pain, especially when standing, lifting, or straining
  • Pressure or heaviness in the abdomen
  • Swelling or tenderness around the hernia site
  • Nausea or vomiting in more severe cases
  • Bowel obstruction, which may present as difficulty passing stool or gas
 

A strangulated hernia, where the blood supply to the protruding tissue is cut off, can lead to tissue death and is a medical emergency requiring immediate attention.

Causes and Risk Factors

Several factors contribute to the development of an incisional hernia. These risk factors include:

  • Poor healing after abdominal surgery
  • Repeated stress or pressure on the abdominal wall, such as heavy lifting or straining
  • Chronic coughing or sneezing
  • Pregnancy or weight gain, which increases intra-abdominal pressure
  • Multiple surgeries in the abdominal area
  • Obesity
 

Advanced age, smoking, and pre-existing medical conditions can further increase the likelihood of developing an incisional hernia.

Can an Incisional Hernia Be Fixed?

Yes, an incisional hernia can and should be repaired. Hernia repair surgery is the most effective way to treat the condition. Left untreated, the hernia can grow larger, become more painful, and increase the risk of complications such as bowel obstruction or strangulation.

Surgical repair not only prevents these complications but also improves your quality of life by alleviating discomfort and restoring normal abdominal function.

Risks and Complications of Incisional Hernias

Complications with hernias can develop. As organs or tissues protrude, they can be at risk of getting stuck as the hernia grows in size. This can cause more severe pain and bowel obstruction leading to constipation.

More severe complications include a strangulated hernia, which can cause tissue death and require emergency intervention. Our team at Detroit Weight Loss Center will take every precaution to minimize risks and guide you through the safest path to recovery.

Treatment Options for Incisional Hernias

The treatment for incisional hernia repair depends on the size of the hernia and your overall health. The two most common surgical options are:

  • Open Hernia Repair: In this traditional approach, the surgeon makes a single large incision near the hernia site, pushes the tissue back into the abdominal cavity, and repairs the weakened area with sutures or a surgical mesh to reinforce the wall and reduce the risk of recurrence.
  • Minimally Invasive Hernia Repair: In laparoscopic ventral hernia repair, the surgeon makes several small incisions and uses a camera (laparoscope) to guide the procedure. This minimally invasive method often results in less postoperative pain, smaller scars, and faster recovery times compared to open surgery.

Both procedures typically use surgical mesh to strengthen the abdominal wall and prevent the hernia from reoccurring. Your surgeon will discuss which option is best for you based on your specific case.

Outlook After Ventral Hernia Repair

The outlook after ventral hernia repair is generally positive. Most patients experience relief from pain and discomfort, along with improved mobility and quality of life. Recovery time varies depending on whether you undergo laparoscopic surgery or open repair, but most patients return to normal activities within 4 – 12 weeks.

Following surgery, it’s important to avoid heavy lifting and follow your surgeon’s guidelines to prevent strain on the repaired area. Maintaining a healthy lifestyle can further reduce the risk of hernia recurrence.

Take the First Step Toward Recovery

If you suspect you may have an incisional hernia, don’t wait for complications to arise. Contact Detroit Weight Loss Center in Commerce Charter Twp or Southfield, Michigan, today to schedule a consultation. 

Our skilled team of professionals is here to help you understand your options and provide expert care every step of the way. Take the first step toward relief and a healthier life by reaching out to us.

Medically reviewed by Dr. Blake Movitz, MD, FACS

Dr. Blake Movitz

Dr. Blake Movitz

Fellowship trained from the Mayo Clinic in Minimally Invasive Advanced GI Surgery, Complex Endoscopy and Bariatric Surgery.