Expert Care for Incisional Hernias

Diagnosis & Treatment of Incisional Hernias

The most common symptom of an incisional hernia is pain, usually mild at first. There may or may not be a noticeable bulge in the abdomen. Not all incisional hernias require surgery, but if the hernia grows and the symptoms become unmanageable, surgical repair may be recommended.

The goal of surgery is to reduce discomfort and strengthen the weakened area of the hernia. Most incisional hernias are repaired with surgical mesh reinforcement, using one of the following techniques:

• Laparoscopic surgery: The hernia is repaired through several very small incisions in the abdomen. This minimally invasive procedure typically results in less pain, a shorter hospital stay and a faster recovery compared to open surgery.
• Robotic surgery: Using the da Vinci robotic surgery system, the hernia is repaired through a few small incisions, with greater precision and range of motion than traditional laparoscopic hernia repair. Advantages of robotic surgery may include less blood loss, lower risk of complications and reduced pain.
• Open surgery: In some cases, your surgeon may determine that open surgery is necessary, particularly if the hernia is very large or the risk of complications is high. Open surgery is just as safe as other techniques, but usually has a longer hospital stay and recovery period.

Recovery from Incisional Hernia Repair Surgery

Incisional hernias can reoccur after surgery. It’s important to address any lifestyle factors that increase this risk, such as obesity and metabolic disorders before undergoing a hernia repair.

To reduce your risk of recurrence, maintain a healthy weight and avoid heavy lifting and any activities that strain the abdominal muscles in the weeks after surgery. Eat a high fiber diet to help keep stools soft and avoid the need to strain during bowel movements.