Incisional Hernias: Causes, Symptoms, and Risk Factors

Before undergoing any surgical procedure, you’ll want to familiarize yourself with potential complications that may arise during your recovery. Different procedures carry different incidence rates for certain complications. In the case of abdominal surgeries like bariatric procedures, incisional hernias are one potential complication.  

What are Incisional Hernias? 

Incisional hernias occur when abdominal tissues and nearby organs protrude further than they’re supposed to, causing a bulge in the abdominal area. These hernias most commonly form at or near surgical scars. Incisional hernias occur after 15% to 20% of surgical procedures near the abdomen.  

Incisional hernias develop when the abdominal wall does not heal properly following a surgical operation. When incisions don’t close properly, the area around the incision site can weaken. Organs and tissues push against this weakened area and eventually protrude through the gap, causing a visible bulge. Incisional hernias can occur weeks or even years after an abdominal surgery but are most likely to develop in the three to six months following the procedure. 

Symptoms of Incisional Hernias 

The most obvious symptom of an incisional hernia is a bulge in the abdominal area, which may be more visible when performing certain activities such as standing, lifting, or coughing. Other symptoms may include: 

• Fever 
• Abdominal pain 
• Constipation or diarrhea 
• Burning or aching in the abdomen 
• Nausea and vomiting 

Incisional Hernia Risk Factors 

Certain factors can make an individual more likely to develop an incisional hernia. If one or more of these factors apply to you, monitor the incision site closely. Risk factors for incisional hernias include: 

• Infection at the incision site 
• Certain health conditions, including renal failure, diabetes, and lung disease 
• Pregnancy 
• Smoking 
• Weight gain 
• Exercising too soon 
• Taking certain medications like steroids or immunosuppressants  

Incisional Hernia Treatment 

Incisional hernia treatment varies depending on the type and severity of the hernia. Medical evaluation is important for any incisional hernia. Your medical provider can determine if your hernia can heal on its own or if additional hernia repair procedures will be required for a proper recovery. 

The hernia doctors at Wellstar Bariatrics are here for you every step of the way, from initial consultation to follow-up appointments to monitor your recovery. If you’re experiencing symptoms of an incisional hernia or have concerns about how your incision is healing, we’re here to help. We’re committed to providing comprehensive support throughout your weight-loss journey. 

Reach out today to find out more about the Wellstar Bariatrics team.