What is an incisional hernia?

An incisional hernia is a bulge through the healed incision of a previous surgery in your abdomen. An incisional hernia is usually caused by weakness in the tissues and muscles of your abdomen. The bulge is usually caused by a part of your intestine, but it may also be tissue or fat pushing through the weakness.

What increases my risk for an incisional hernia?

1. Older age
2. Obesity or poor nutrition
3. Pregnancy
4. Previous infection at the incision site
5. Smoking
6. Straining during bowel movements, coughing, or heavy lifting
7. Medicines, such as steroids

What are the signs and symptoms of an incisional hernia?

1. Pain
2. Nausea or vomiting
3. welling or a soft bulge along your old incision
4. Bloating

How is an incisional hernia diagnosed?

Your healthcare provider will look and feel for a bulge in your incision. He may ask you to lie down with your legs bent. He may also ask you to cough while standing up. You may need a CT scan to show the hernia. You may be asked to drink contrast liquid to help the hernia show up better in the pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid.

How is an incisional hernia treated?

1. Medicines:
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in     certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
- Prescription pain medicine may be given. Ask your how to take this medicine safely.

2. A hernia reduction is when your healthcare provider pushes the hernia back into your body without surgery. You may be given medicine to relax your muscles to make it easier to push the bulge back in.

3. Surgery may be needed to repair your hernia. Surgery may be done through a few small incisions in your abdomen or one larger incision. Mesh may be placed to strengthen your abdominal tissues.