Incisional hernia: Difference between revisions
(Created page with "'''Incisional hernia''', hernia through an incompletely healed abdominal surgical incision, occurs in 10 – 15% of patients. It occurs most commonly in 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. These hernias may be closed surgically if necessary or managed expectantly. Category:General surgery") |
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''' | 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. | ||
These hernias may be closed surgically if necessary or managed expectantly. | 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]] | [[Category:General surgery]] | ||
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Latest revision as of 13:27, 7 November 2023
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 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%.