a swelling in the region of a previous abdominal surgical scar. Pain can indicate a risk of bowel or fat becoming trapped within the hernia.
- these are unfortunately quite common after major abdominal surgery
- not all such hernias necessarily require repair
- repair can be straightforward or very involved depending on the size of the hernia, presence of infection, the number of previous attempts at repair and the general health of the patient.
- large or multiply recurrent hernias are generally best treated with abdominal wall reconstruction using either a technique called ‘Anterior Component Separation Repair’ or ‘Transversus Abdominis Release’.
- the outcome of these techniques is generally very successful (80% +) though it is a major undertaking and patients require careful counselling prior to surgery.
- weight loss and stopping smoking may be required before abdominal wall reconstruction.