What is an incisional hernia?
An incisional hernia develops at the site of a previous surgical scar, where the muscle wall has weakened. It can range from small and symptom-free to large and uncomfortable, and tends to enlarge gradually if left untreated.
Signs you may have an incisional hernia
A lump or bulge at or near a previous surgical scar
The lump becomes more noticeable when standing or straining
Discomfort, aching, or a dragging sensation
A lump that reduces on lying down
Visible skin changes over a long-standing hernia
How it is treated
Incisional hernias are repaired surgically, and the approach depends on the size and complexity of the hernia and the strength of the surrounding tissue. Mesh is commonly used to reinforce the repair, and larger or more complex hernias may need more involved abdominal wall reconstruction. Mr Kimble assesses each case individually, as incisional hernias vary considerably in complexity.
Recovery
Recovery depends on the size and complexity of the repair, straightforward cases follow a similar day-case pathway to other hernias, while larger reconstructions may need a short inpatient stay and a longer recovery period, explained clearly at consultation.
If the lump suddenly becomes very painful, firm, or won't go back in, especially with nausea or vomiting, seek medical help straight away.