Incisional hernias occur as a result of excessive tension and/or inadequate healing of a previous incision, which is often associated with surgical site infection.
Signs and Symptoms
- Bulge in the abdominal wall, usually under or close to the site of the previous incision, the size varies from small to very large defects and bulges. It also enlarges upon increases in the intra-abdominal pressure or standing position.
- Multiple or single defects and/or bulges can be found.
- Pain also varies from patient to patient, depends on the size of the defect and the contents of the hernia sac.
- Abdominal Distension when the contents of the hernia sac involve intra-abdominal organs, mainly small bowel, this sign/symptom can be present, accompanied by increased pain.
- When the contents cannot return to the abdominal cavity, it is incarcerated; this may lead to increased pain, bowel obstruction and strangulation, which if its left untreated, can lead to serious complications.
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