View source for Incisional hernia

An '''incisional''' '''hernia''' is a [[hernia]] which occurs at or close to a previous surgical incision which hasn’t completely healed, in which the surgical incision acts as the hernia “gate”. It’s the most common complication of [[laparotomy]]. It occurs in 10 – 15% of patients.

It occurs most commonly in [[Obesity|obese]] and those with poor abdominal muscle tone. It presents as an abdominal bulge at the site of the incision. In some cases, the separated edges can be palpated.

== Treatment ==
These hernias may be closed surgically if necessary or managed expectantly. Incisional hernia is managed with tension-free mesh repair. This may be accomplished open or laparoscopically. Unfortunately, the recurrence rate of incisional hernia reconstruction is quite high, 20 – 50%.
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[[Category:General surgery]]
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