What Is an Incisional Hernia?
An incisional hernia occurs when tissue or intestines push through a weak area in the abdominal wall, usually at the site of a previous surgical incision. This hernia appears as a visible bulge and can develop weeks, months, or even years after abdominal surgery.
Commonly seen in people who’ve undergone open surgeries, this hernia can grow and become painful if not treated on time.
What Causes an Incisional Hernia?
Several risk factors can lead to an incisional hernia:
- Poor wound healing after surgery
- Obesity (increased abdominal pressure)
- Infection at the surgical site
- Physical strain or lifting too soon after surgery
- Persistent cough or constipation
- Multiple abdominal operations
- Diabetes, smoking, or weakened immunity
Even if a wound heals externally, the deeper muscle layers may not regain full strength — leading to hernia formation over time.
Who Is at Risk?
People at higher risk of developing an incisional hernia include:
- Patients with large open incisions
- Overweight or obese individuals
- Smokers or those with chronic coughing
- Diabetics or those with immune disorders
- Individuals returning to strenuous activity too soon post-surgery
Symptoms of Incisional Hernia
Most people with an incisional hernia report the following symptoms:
- Noticeable bulge near the previous surgical scar
- Pain or discomfort in the abdomen
- A heavy or pulling sensation
- Pain that worsens during physical activity, coughing, or lifting
- Tenderness around the scar
Emergency Symptoms (Strangulated Hernia):
- Severe pain
- Nausea or vomiting
- Fever
- Inability to pass stool or gas
These may indicate strangulation of the hernia — a surgical emergency.
Diagnosis of Incisional Hernia
A general surgeon can typically diagnose an incisional hernia through:
- Physical examination
- Imaging (when needed):
- Ultrasound
- CT Scan
- MRI
These help assess the size, location, and severity of the hernia.
Treatment Options for Incisional Hernia
1. Open Hernia Repair
- Surgical incision is made directly over the hernia
- Tissue is repositioned, and the abdominal wall is reinforced with sutures or mesh
2. Laparoscopic Hernia Surgery
- Minimally invasive procedure
- Faster recovery and lower infection risk
- Ideal for medium-sized hernias
3. Robotic Hernia Repair
- High-precision surgery using robotic arms
- Preferred for large, complex, or recurrent hernias
Post-Surgery Recovery
Recovery time varies depending on the surgery type:
- Return to light activity: within a few days to a week
- Avoid lifting heavy objects for 4–6 weeks
- Use of abdominal binders may support healing
- Follow-up appointments ensure the site is healing properly and prevent recurrence
Can Incisional Hernia Be Prevented?
While not all hernias can be prevented, these tips can reduce your risk:
- Follow all post-op care instructions
- Avoid early lifting or straining
- Maintain a healthy weight
- Manage chronic conditions (like diabetes, cough)
- Quit smoking
Looking for Incisional Hernia Surgery in Gurgaon?
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With 18+ years of experience, Dr. Aryan specializes in complex and recurrent incisional hernia repairs using the latest laparoscopic and robotic techniques. Known as best general surgeon in Gurgaon for his skilled hands and compassionate care, he provides safe and lasting solutions for all types of hernias.
Learn more about Incisional Hernia Symptoms and Treatment
Final Thoughts
An incisional hernia may start as a harmless bulge, but over time, it can become painful and risky. The good news? With early diagnosis and the right surgical expertise, most patients recover quickly and resume their normal lives.
Don’t ignore the signs. Get expert evaluation and care from Dr. Vikram Aryan — one of the best hernia surgeons in Gurgaon.
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