Incisional hernias involve the protrusion of fat or large intestine through a hole that is created as a result of a prior surgical procedure. Incisional hernias were far more common when all procedures were performed in an open manner, using a single large incision. Any time we cut skin and muscle in the abdomen, we increase the risk of a hernia, because the scar tissue that heals the incision is never as strong as the original uncut abdominal wall.
The advent of minimally invasive and robotically assisted bariatric and general surgery has reduced the risk of an incisional hernia whether it is secondary to a hernia repair or if it is as a result of the incisions after bariatric procedure.
Incisional Hernia Treatment
Treatment for incisional hernias are very similar to the treatment of other hernias such as inguinal hernias, umbilical hernias and more. Typically, mesh is placed behind the incisional hernia using self-adhering synthetic or bioabsorbable materials. This mesh creates a lattice for additional scar tissue to build and create a strong barrier. Synthetic mesh remains in the abdomen permanently while absorbable mesh will eventually disintegrate and incorporated the rest of the body.
We use a technique that places the mesh within the layers of the abdominal wall, so that it is not in contact with your intestines – eliminating one of the main concerns about mesh: adherence and scarring to your bowels.
To learn more about the potential risks of an incisional hernia or to schedule a consultation with Dr. Tsuda or Dr. Ryan about any form of hernia, please click here.