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Incisional hernia repair (laparoscopic)

Besides a visible bulge, incisional hernias might also cause fever, vomiting or other symptoms, in which case you may need incisional hernia repair surgery.

Any operation on your abdomen needs a cut that is closed with stitches.

Sometimes your wound does not heal properly, and a weakness happens in the muscle layer.

This results in the contents of your abdomen, along with the inner layer, pushing through your abdominal muscles.

This produces a lump under your skin called a hernia.

The operation is performed under a general anaesthetic. The operation usually takes 1 to 2 hours.

Your surgeon will make a small cut on or near your umbilicus (belly button) so they can insert an instrument in your abdominal cavity to inflate it with gas (carbon dioxide).

They will make several small cuts on your abdomen, so they can insert tubes (ports) into your abdomen.

Your surgeon will insert surgical instruments through the ports along with a telescope, so they can see inside your abdomen and perform the operation.

Your surgeon will free up the structures from your abdomen that are stuck in the hernia, and insert a synthetic mesh to cover the weak spot.

You should no longer have the hernia.

Surgery should prevent serious complications and allow you to return to normal activities.

Are there any alternatives to laparoscopic incisional hernia surgery?

You can sometimes control the hernia with supportive clothing or simply leave it alone.

It will not get better without surgery.

Like all surgical procedures, there are some complications that can be serious and can even cause death.

Please bear in mind the general and specific complications regarding this type of operation.

General complications of any operation

  • Pain
  • Bleeding
  • Unsightly scarring of your skin
  • Infection of the surgical site (wound)
  • Blood clot in your leg
  • Blood clot in your lung

Specific complications of this operation (keyhole surgery complications)

  • Damage to structures such as your bowel, bladder or blood vessels
  • Developing a hernia
  • Injury to your bowel
  • Surgical emphysema

Hernia repair complications

  • Developing a collection of blood (haematoma) or fluid (seroma) under your wound
  • Difficulty passing urine
  • Injury to structures that come from your abdomen and are within the hernia

You should be able to go home after 1 to 2 days.

Increasing how much you walk around over the first few days. You may need to take painkillers to help you.

Your doctor will tell you when you can return to work.

Do not lift anything heavy for at least 6 weeks.

With regular exercise, you should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a full recovery and can return to normal activities. However, the hernia can come back.

An incisional hernia is a weakness in your abdominal wall, which happens when previous wounds do not heal properly.

If left untreated, an incisional hernia can cause serious complications. 

Book your appointment online, or find out more calling us on 0808 101 0337.

Acknowledgements

  • Author: Mr James Catton FRCS
  • Illustrator: Medical Illustration Copyright © Medical-Artist.com

Specialists offering Incisional hernia repair (laparoscopic)

Mr Miguel Zilvetti

Consultant Laparoscopic General and Colorectal Surgeon

LMS, FRCS (Gen. Surgery)

BMI The Droitwich Spa Hospital

View profile Book online

Ms Gisella Salerno

Consultant Surgeon

MBBS BSc MD FRCS

BMI The Princess Margaret Hospital

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Mr Richard F Payne

Consultant General Surgeon

MBBS, BSC, MS, FRCS

BMI The Ridgeway Hospital

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Mr Achyuth Menon

Consultant General Surgeon

MBBS, FRCS (Ed), FRCS (Gen)

BMI The Park Hospital

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Mr Christopher Mahon

Consultant Surgeon

MBChB (Hons) BSc FRCS (London)

BMI The Duchy Hospital

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Mr Mahdy Borghol

Consultant Surgeon

MBBCh MD FRCS(Eng) FRCS(Glasg)

BMI The Alexandra Hospital

View profile Book online

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