Incisional Hernia
What Is an Incisional Hernia?
An incisional hernia occurs when tissue pushes through a weakened area of the abdominal wall at the site of a previous surgical incision. It develops in the abdomen where a patient has had surgery, and the fascia and muscles have not fully regained their strength after healing.
During an operation, a surgeon makes an incision through layers of muscle and tissue. Although this area usually heals well, the scar can remain weaker than the surrounding abdominal wall. Over time, pressure within the abdomen may cause tissue or part of the bowel to bulge through this weakened area.
Incisional hernias can appear months or even years after previous surgery. The causes of incisional hernia often relate to how the body heals following surgery, but several risk factors can increase the likelihood of it developing.
These include:
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Wound infection
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Obesity
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Smoking
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Heavy lifting during early recovery
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Conditions that place repeated strain on the abdominal wall
What are the Symptoms of an Incisional Hernia?
The most common symptom is a visible lump near the site of a previous surgical scar. This swelling may become more noticeable when standing, coughing, or straining, and may flatten when lying down.
Some patients experience mild discomfort or a pulling sensation around the scar area.
Other symptoms can include:
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A soft bulge along the surgical scar
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Discomfort or aching in the abdomen
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A feeling of pressure at the site of the hernia
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A lump that gradually increases in size
A diagnosis is usually made through clinical examination, although imaging tests such as ultrasound or CT scans may sometimes be used.
Treatment of Incisional Hernia
Treatment depends on the size of the hernia, the symptoms experienced, and overall health. Very small hernias that cause no discomfort may sometimes be monitored. However, many eventually require repair.
Surgical treatment aims to close the defect in the abdominal wall and strengthen the area to prevent the hernia from returning.
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Open hernia repair: This involves making an incision over the hernia site so the surgeon can reposition the tissue and reinforce the weakened area.
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Laparoscopic incisional hernia repair: This minimally invasive procedure uses several small incisions and specialised instruments to repair the hernia from inside the abdomen.
Your surgeon, Steve Hornby, will recommend the most appropriate type of surgery based on the size and position of the hernia and previous procedures. He can also explain what to expect from the operation and recovery
1
Initial consultation
Book an appointment with Steve Hornby, consultant general surgeon, to discuss your symptoms, concerns, and medical history. You will have time to ask questions and receive clear information about possible next steps.
2
Personalised treatment plan
Care tailored to you. Following your consultation, a clear treatment plan is created based on your diagnosis, needs, and goals. This may include further investigations, treatment options, or preparation for surgery where appropriate.
3
Treatment and recovery support
Care that continues beyond treatment. If surgery is required, it is delivered in modern clinical facilities, with recovery supported through onsite physiotherapy and follow-up care. Ongoing reviews ensure your recovery stays on track.
Ready to talk things through?
If you have questions or would like to discuss your symptoms, we’re here to help. You’re welcome to call 01242 386579, email admin@thehornbygroup.com, or use the contact form to get in touch.