Incisional (Scar Site) Hernia Repair Surgery

Understanding Incisional Hernia

An incisional hernia is a type of hernia that develops at the site of an incision from a previous surgery. This condition occurs when part of the intestine or other abdominal contents protrude through a weak spot in the surgical wound, causing a bulge or lump.

When Surgery Becomes Necessary

Incisional hernia repair surgery becomes necessary when the hernia causes discomfort, pain, or other complications such as bowel obstruction or strangulation. Surgery is recommended to alleviate symptoms and prevent serious complications.

Overview of the Surgical Procedure

Incisional hernia repair surgery involves the use of a mesh to reinforce the weakened area. The surgery can be performed using an open approach or a laparoscopic (keyhole) approach.

Surgical Procedures Explained

• Keyhole Incisional (Scar Site) Keyhole Hernia Repair Surgery: This minimally invasive procedure involves small incisions, through which a laparoscope and surgical instruments are inserted to repair the hernia.
• Open Incisional (Scar Site) Hernia Repair Surgery: This procedure involves a larger incision to directly access and repair the hernia.

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Related Concerns

Complications associated with incisional hernias include pain, discomfort, bowel obstruction, and strangulation. If left untreated, these complications can become life-threatening.

Causes of the Issues

Incisional hernias are caused by a combination of factors including surgical wound weakness, increased abdominal pressure, and poor wound healing.

Treatment Approaches

Treatment options for incisional hernias include watchful waiting for small, asymptomatic hernias, and surgical repair for larger, symptomatic hernias.

Service Overview

Both open and laparoscopic incisional hernia repair surgeries are effective treatments. The choice between the two often depends on the size and location of the hernia, the patient's overall health, and the surgeon's expertise.

Step-by-Step Guide to Incisional Hernia Repair Surgery

1. The patient is placed under general anaesthesia.
2. The surgeon makes an incision at the hernia site.
3. The hernia is pushed back into the abdomen.
4. A mesh is placed over the hernia site to reinforce the area.
5. The incision is closed with sutures. ### Conditions Warranting Incisional Hernia Repair Surgery Incisional hernia repair surgery is recommended when the hernia is large, causing discomfort, pain, or complications such as bowel obstruction or strangulation. Lifestyle considerations such as physical activity levels and occupation may also influence the decision to undergo surgery. ### Benefits of Incisional Hernia Repair Surgery The surgery can alleviate discomfort and pain, reduce the risk of serious complications, and improve the patient's quality of life. It can also prevent the hernia from increasing in size. ### Risks of Incisional Hernia Repair Surgery Potential risks include infection, bleeding, recurrence of the hernia, and complications related to anaesthesia. ### Preparation for Surgery Patients may be asked to stop certain medications, fast for a specific period before the surgery, and quit smoking. ### Pre-surgery Procedures and Checks At the hospital, vital signs are checked, and the surgical site is cleaned. The patient may undergo blood tests and other preoperative evaluations. ### Postoperative Care Post-surgery care includes pain management, wound care, and monitoring for complications. Patients are given specific instructions for home care and follow-up appointments. ### Recovery and Rehabilitation Recovery time varies but most patients can return to normal activities within a few weeks. Physical therapy and exercises may be recommended to strengthen the abdominal muscles. ### Alternatives to Surgery For small, asymptomatic hernias, watchful waiting may be an option. However, surgery is the only definitive treatment for incisional hernias. ## References
6. NHS. (2021). Hernia Surgery. [online] Available at: https://www.nhs.uk/conditions/hernia/surgery/
7. British Hernia Centre. (2021). Incisional Hernia. [online] Available at: https://www.britishhernia.co.uk/types-of-hernia/incisional-hernia/
8. Healthline. (2021). Incisional Hernia: Symptoms, Treatment, and Prevention. [online] Available at: https://www.healthline.com/health/incisional-hernia
9. Mayo Clinic. (2021). Hernia. [online] Available at: https://www.mayoclinic.org/diseases-conditions/hernia/symptoms-causes/syc-20373796
10. Bupa UK. (2021). Hernia Surgery. [online] Available at: https://www.bupa.co.uk/health-information/digestive-gut-health/hernia-surgery

• NHS. (2021). Hernia Surgery. Available at: https://www.nhs.uk/conditions/hernia/surgery/
• British Hernia Centre. (2021). Incisional Hernia. Available at: https://www.britishhernia.co.uk/types-of-hernia/incisional-hernia/
• Mayo Clinic. (2021). Hernia. Available at: https://www.mayoclinic.org/diseases-conditions/hernia/symptoms-causes/syc-20373796
• Bupa UK. (2021). Hernia Surgery. Available at: https://www.bupa.co.uk/health-information/digestive-gut-health/hernia-surgery