Incisional hernia (patient information)

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Jinhui Wu, M.D.

An incisional hernia is a protrusion of the gastrointestinal tract from the abdominal wall.

• Abdominal wall pain
• Reducible hernia: There is a bulge in the abdominal area. It may be tender and can cause discomfort during any type of physical strain, such as lifting or coughing. The bulge may disappear when the patient is lying down, and be more visible when standing up.
• When a hernia cannot be pushed back into place, symptoms include pain, nausea, vomiting, inability to have a bowel movement, and a bulge that remains even when lying down.

• Obesity
• Pregnancy
• A history of multiple abdominal surgeries
• Chronic and severe constipation
• Severe vomiting
• Chronic and intense coughing

• Physical exam: The doctor can diagnose incisional hernia by a physical examination. The doctor will look for a bulge in the abdominal area and may ask you to cough as he puts light pressure on the area. Coughing causes the hernia to bulge out further.
• CT scan: A CT scan may be a useful adjunct in confirming the diagnosis as well as determining the contents and extent of the hernia.

Call your health care provider if symptoms of incisional hernia develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:

• Sharp abdominal pain

Directions to Hospitals Treating incisional hernia

http://surgery.about.com/od/proceduresaz/a/IncisionalHerni.htm

http://www.hmc.psu.edu/healthinfo/i/incisionalhernia.htm

http://www.ssat.com/cgi-bin/incisionalhernia.cgi

http://www.ehow.com/how-does_4579109_symptoms-incisional-hernia.html

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