There are many different kinds of hernia in the modern world and incisional hernia is one of them. This happens when there is a weakness in the abdomen muscle that permits the abdomen tissues to protrude via the muscle. This hernia appears as a swell beneath the skin and at times can be tender or painful to touch. In incisional hernia, muscle weakness is due to the incision made before the abdominal surgery. This kind of hernia is small in a way that only the abdominal cavity lining or peritoneum pushes through. There are some severe cases where some parts of the organs may go through the muscle hole.
Incisional Hernia Risk
It is important to determine the kind of people that are prone to incisional hernia. This hernia is common in pregnant and obese patients. It has to be noted that if you have a history of various abdominal surgeries, then you are at a higher risk of getting incisional hernia. There are some cases where a patient can have a hernia in the abdomen and yet he or she has not undergone any surgery, in this case, this is not incisional hernia.
You also need to be aware that if you have undergone surgery and you add weight, become pregnant or engage in activities or exercises that are meant to enhance abdominal pressure such as heavy lifting, then there are high chances of getting incisional hernia. It has also been revealed that the body incision is indeed weak, thus it is mostly prone to hernia when in the process of healing. It is also possible to develop or have enlarged incisional hernia months or years following surgery, there are high chances that they occur three to six months after surgery.
Incisional Hernia Diagnosis
Incisional hernia occurs after surgery on the abdomen and might appear as well as disappear (reducible hernia). It is important to note that this hernia might not be easy to notice unless you (patient) has engaged in activities that are meant to enhance abdominal pressure like sneezing, coughing, straining to have bowel movement, heavy weight lifting among others. This hernia is however visible making it easily noticeable and diagnosable.
In case it has been examined and determined by a physician, then there is no need of extra examination. You might be required by a physician to bear down or cough so as to examine the hernia when it is “out”. It is also recommended to undergo routine testing to establish which area on your body is responsible for the muscle push. In case this hernia is quite large in a way that it allows peritoneum to swell through, then testing might be required.
Treatment of Incisional Hernia
Incisional hernia treatment is based on the size of the hernia. If it is small, then surgical repair is only but an option and not a necessity. In case it is large, has steady growth and causes pain, then surgery is necessary. It is also possible to treat this condition using a truss which is a garment akin to a girdle or weight belt that is used to provide constant pressure on this hernia.