Hernias at Abdominal Incisions

Hernias are a common surgical problem that occur when internal tissue protrudes through a weak spot or tear in the abdominal wall. Although hernias can occur in different parts of the body, midline abdominal incisions are particularly prone to this complication due to the anatomy of the abdominal wall and the inherent weakness at the surgical incision.

At Advanced Surgical Associates, we are aware of the increased risk of hernias after midline abdominal incisions, and we use various techniques to minimize this risk. One of the most important measures I take is to use a “small-bites” technique. This technique has been repeatedly shown to reduce the amount of hernias that form later on, even years after the index surgery.

We also use minimally invasive techniques whenever possible, which can further reduce the risk of herniation by minimizing the amount of trauma to the abdominal wall. This includes laparoscopic and robotic-assisted surgeries, which use small incisions and specialized instruments to access the abdomen.

Despite these measures, there is still a significant risk of hernias after midline abdominal incisions. This risk is especially high in patients who are overweight or obese, have a history of hernias or abdominal surgeries, or who engage in strenuous physical activity before the surgical incision has fully healed.

Therefore, it is important to seek prompt medical attention if you notice bulging or discomfort at a previous surgical incision site, as this may indicate the presence of a hernia. In some cases, hernias may require surgical repair to prevent further complications and improve quality of life.

In conclusion, hernias are a common surgical complication that can occur after midline abdominal incisions. At Advanced Surgical Associates, we use various techniques to minimize the risk of hernia, but there is still a significant risk in certain patient populations. It is important to seek surgical consultation if you notice any signs or symptoms of a hernia, as prompt treatment can prevent further complications and improve outcomes. Make an appointment today!