Laparoscopic Incisional Hernia

What is an incisional hernia?

An incisional hernia is usually caused by a weakness of surgical wounds, which may be caused by haematoma, seroma, or infection, all of which result in decreased wound healing. They may also be caused by increased intra-abdominal pressure due to a chronic cough, constipation, urinary obstruction, pregnancy or ascites. It can also result from poor surgical technique.

Treatment

Laparoscopic incisional hernia repair is a relatively new method of surgery for this condition. This type of operation is performed using surgical microscope and specialised instruments. The surgical mesh is placed into the abdomen underneath the abdominal muscles through small incisions into the side of the hernia. During this procedure, the weakened tissue of the original hernia is never re-incised to perform the repair, minimising the potential for wound complications such as infections. The added benefits of this procedure is that the smaller incisions can make the operation less painful and increase the speed of recovery.

Recovery

Typically, you will be allowed home on the same day as your operation, or the next day. On average, it takes a week for you to be able to resume normal activities, so long as you feel comfortable to do so. You do not need to completely avoid lifting but be aware that you may find it difficult or painful to lift heavy weights during the first 2-4 weeks after surgery. Regular exercise can aid the recovery process, so long as this is discussed with you consultant or GP beforehand.