Overview
An incisional hernia develops at the site of a previous abdominal surgical incision, where the scar tissue has weakened over time and allowed abdominal contents to push through. They are more common following major abdominal operations and can increase in size if left unaddressed. Mr Woodward has extensive experience managing incisional hernias, approaching each case with a thorough review of the patient’s surgical history and a repair strategy designed to hold long term.
Conditions Treated
- Hernia at previous abdominal scar site
- Small to large incisional hernia defects
- Incisional hernia following bowel surgery
- Incisional hernia after gynaecological surgery
- Symptomatic or enlarging incisional hernia
The Procedure
The repair approach depends on the size of the defect, the quality of surrounding tissue, and the patient’s surgical history. Mr Woodward may use open surgery or a laparoscopic approach, with mesh or suture reinforcement as appropriate. Scar tissue from the original incision is carefully managed to achieve a clean, durable repair. Every step of the procedure is discussed with the patient in advance and a full aftercare plan is provided.
Recovery & Aftercare
Recovery varies depending on the size of the hernia and the technique used. Most patients undergoing straightforward incisional hernia repair return home within 24 hours. Larger or more complex repairs may require a brief inpatient stay. Activity restrictions are provided in detail and followed up at a scheduled post-operative appointment with Mr Woodward.
Frequently Asked Questions
Why has a hernia appeared at my old scar?
Scar tissue is inherently weaker than normal tissue and can gradually give way under pressure. Incisional hernias are a known complication of abdominal surgery.
Can an incisional hernia be repaired with mesh?
Yes, and in many cases mesh reinforcement provides the most durable outcome. Mr Woodward also offers non-mesh repair where this is the more appropriate clinical choice.
What happens if I leave an incisional hernia untreated?
Incisional hernias tend to enlarge over time and can become painful or complicated. Early repair is generally safer and associated with better long-term results.