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Have you been diagnosed with a Incisional hernia? And looking for minimally invasive laparoscopic surgery? Book your appointment with India’s best laparoscopic surgeons at Pristyn Care and get your Incisional hernia repaired.
Have you been diagnosed with a Incisional hernia? And looking for minimally invasive ... Read More
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An incisional hernia develops when tissue or a portion of the intestine pushes through the weak abdominal muscles at a surgical site. It usually happens after an open abdominal surgery or a laparotomy. Your abdominal muscles are weaker after the procedure. This makes it easy for fat from your abdomen or portions of your intestines to protrude and cause a hernia. The hernia causes a lump or protrusion close to the scar from the laparotomy.
The majority of incisional hernias do not pose a major health risk. But there can be serious consequences from a big incisional hernia. In such cases, surgery is used to reinforce weak areas in your abdominal muscles and heal the hernia.
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You may not notice any symptoms for a small incisional hernia. A small hernia is roughly 2 inches (5 cm) in length or width. An incisional hernia that is larger than 4 inches (10 cm) may be painful. The bulge is more noticeable when you stand up or put strain on your abdominal muscles. Also, if you are constipated, you may notice a bulge.
Abdominal surgery, mostly a laparotomy, weakens your abdominal muscles. You may also develop incisional hernia signs and symptoms after a minimally invasive surgery, such as laparoscopic or robotic surgery. The muscles need time to heal. Certain medical conditions also slow down the healing. Â
The following are a few of the medical conditions that may lead to the development of an incisional hernia.
Bowel obstruction and strangulation are a few of the serious complications of incisional hernias. A strangulated hernia can cause the death of tissues in your intestine. A strangulated incisional hernia develops when the pressure on the hernia cuts off the blood supply to the intestine in hernia. If left untreated, these can be life-threatening. Sometimes, hernias can rupture, though it is very rare.Â
If the small hernias are left untreated, they worsen over time and get larger. Large hernias can cause pain and swelling in your abdomen and may become irreducible. It causes a lot of discomfort, and you may experience severe symptoms.
Incarcerated or strangulated hernias are serious medical issues and need to be addressed with proper treatment. These may cause symptoms such as sudden severe pain, a change in the color of the skin around the bulge. The skin may also become paler and darker than usual. If you notice these symptoms, you must consult a doctor immediately.
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Your doctor will do a physical examination. To examine whether the bulge in your abdomen increases or decreases, they can ask you to sit and then rise. They may also discuss some additional symptoms to rule out the possibility of an incarcerated incisional hernia. The doctor might also perform an imaging test, such as an abdominal ultrasound, CT scan, or MRI.
If you experience or notice the symptoms, you must consult a medical healthcare professional and book your appointment.
What should you do?
What should you ask your doctor?
What should you expect from a doctor?
The doctor may ask you the following questions.
In order to push the protruding tissue back to its place, surgery is required. Surgery is also essential to remove the scar tissue and use a surgical mesh on the hernia’s opening. It helps in preventing the recurrence of hernias. At Pristyn Care, our highly skilled and specialised team of urologists treats patients through minimally invasive procedures.Â
Small or reducible hernias do not always require surgery. Your doctor will discuss your medical history and other factors, such as blood sugar levels, previous surgeries, obesity etc. Your doctor may not advise surgery if the hernia is not causing any symptoms or discomfort.
If the hernia has grown large and become irreducible, your doctor may suggest surgery. Depending on the patient’s symptoms, hernia size, and medical history, the doctor may suggest the following types of surgery.Â
The doctor makes a single incision to operate on the herniated tissue. They use surgical instruments to put the tissues and organs back into place and stitch the tissue back together to make it stronger. Usually, the surgeons use surgical mesh to reinforce the tissue.Â
It is a minimally invasive procedure used to repair several incisional hernia types. The procedure uses multiple small incisions(usually three to four) and a laparoscope to guide the surgeon. The laparoscope is a thin, narrow tube with a camera on the end that projects real-time images onto a television screen. It helps the surgeon to view inside the abdomen without making major incisions. Sometimes, a mesh is also used to hold the protruding tissues in place. The surgery takes approximately an hour or less to complete.Â
It is also called robotic-assisted laparoscopy. This procedure uses robotic surgical instruments to operate. The surgery involves making only a few small cuts. During the surgery, the doctor works through a console and controls the robotic arms and instruments from a screen that’s placed next to you. Using robotic technology, the doctor repairs difficult or complex cases of hernias with small cuts.
The following methods help in the incisional hernia prevention and management.
Despite being a comparatively safer technique, hernia repair surgery carries some minor risks, including bleeding, infection, and minor injuries.
Depending on the complexity of the procedure, incisional hernia surgery recovery can take longer than usual. Recovery usually takes 4–6 weeks for open surgery and 1–2 weeks for laparoscopic surgery. Soreness and pain may last for a few days to a few weeks.
Hernia patients must avoid consuming alcohol, caffeine, and carbonated drinks. They should also avoid spicy foods, fried and fatty foods, and acidic foods, such as citrus and tomatoes. These can increase acid reflux and heartburn symptoms and may cause greater pain and suffering.
If your hernia pain is accompanied by nausea, vomiting, fever, constipation, or a discoloration of the hernia bulge, you should contact a doctor right away. These symptoms develop when the blood supply to the hernia is severed, a potentially fatal condition known as strangulation.
Hernia surgery is usually covered by the majority of health insurance plans. However, the coverage may be impacted by the pre-existing health condition and the policy clauses.
A large incisional hernia repair with mesh is classified as a major surgery. It is a minimally invasive surgery performed using a laparoscope. A laparoscope is a thin instrument with a tiny video camera and light on the end. Laparoscopic hernia repair creates fewer incisions.
A visible bulge at the scar site that may worsen when standing or straining, pain or discomfort that increases with activity, and digestive issues, such as nausea or constipation, are the major symptoms of an incisional hernia after a C-section.
Infraumbilical incisional hernias are usually caused due to a gynecological operation. These appear as a bulge below the belly button. These develop when a part of the intestine or other abdominal tissue pushes through a weakness in the abdominal wall in the lower-midline area.
