Condition

Incisional Hernia

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Treated by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy

An incisional hernia occurs when abdominal tissue or an organ bulges through the site of a previous surgical incision. The scar tissue may weaken over time or fail to heal properly, creating a gap in the abdominal wall. Dr Ravi Chandra Reddy evaluates and manages incisional hernias, helping patients understand their options for repair.

Treatable Early Detection Matters Multiple Options
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Incisional Hernia at Dr Ravi Chandra Reddy
Quick Facts

At a glance.

Clinical Overview
Progression TypeVariable
Diagnosis MethodClinical examination
Types

Types of incisional hernia.

Small incisional herniaLarge incisional herniaRecurrent incisional hernia

Small incisional hernia

A defect less than two centimetres, often causing a visible bulge with minimal symptoms. Many remain stable and may not require immediate repair.

Large incisional hernia

A defect wider than five centimetres, sometimes involving multiple layers of tissue. These may cause discomfort and may be more complex to repair.

Recurrent incisional hernia

A hernia that develops at the same site after a previous repair. It may reflect tissue weakness, infection, or early strain on the repair.

Causes

What causes incisional hernia?

Multiple factors can contribute to the development and progression of this condition.

Weakness in the abdominal wall after surgery
Wound infection or delayed healing
Heavy lifting or straining soon after surgery
Obesity or chronic cough increasing abdominal pressure
Symptoms

Signs to look out for.

Recognising the signs early gives you more treatment options.

Early StageMild discomfort
Visible bulge at the site of a previous incision
Mild discomfort or aching at the bulge
Bulge that becomes larger when standing or coughing
ModerateIncreasing impact
Persistent aching or pulling sensation at the hernia site
Difficulty performing physical activities
Swelling that does not reduce when lying down
AdvancedSignificant limitation
Sudden severe pain and firm, tender swelling
Nausea, vomiting, or inability to pass stool or gas
Skin discolouration over the bulge indicating obstruction
Evaluation

How it's evaluated.

Assessment begins with a review of surgical history and a physical examination to locate the bulge and assess its size. Imaging may be arranged for patients with unclear findings or those being considered for repair, though not every patient requires scans.

Treatment

Treatment options available.

From conservative to surgical — we always start with the least invasive option first.

Observation
View details

Observation

  • Periodic clinical review
  • Advice on avoiding heavy lifting
  • Weight management where relevant
Our Approach

How we handle this condition.

A structured, patient-first approach from first visit to full recovery.

Step 01

Initial consultation

Dr Ravi Chandra Reddy reviews your surgical history, examines the hernia, and discusses how it affects your daily life.

Step 02

Investigation where needed

Imaging such as ultrasound or CT may be arranged to clarify the size and contents of the hernia, particularly if repair is being planned.

Step 03

Shared decision-making

The options for observation or repair are explained, along with the expected recovery and individual risks, so you can make an informed choice.

Step 04

Post-repair follow-up

After repair, scheduled visits allow monitoring of healing, advice on activity, and early recognition of any concerns such as infection or recurrence.

Recovery

Recovery & aftercare.

What to expect at each phase of recovery.

Early recoveryReturn to light activityFull recovery

Early recovery

Rest is encouraged in the first days, with gentle movement to prevent complications. Pain is managed with prescribed medication and wound care instructions are provided.

Return to light activity

Walking and daily tasks resume gradually, typically within one to two weeks. Heavy lifting and strenuous exercise remain restricted to protect the repair.

Full recovery

Most patients return to all activities within six to twelve weeks, though individual timelines vary. Ongoing attention to abdominal strain and weight helps reduce recurrence risk.

Outcomes

Treatment outcomes.

Relief from discomfort

Successful repair often resolves pain and the visible bulge, improving comfort during activity. Results depend on the size of the defect and individual healing.

Reduction of risk

Repair aims to prevent complications such as obstruction or strangulation of tissue. It does not guarantee that a hernia will never recur at the same or a different site.

Limitation in complex cases

Very large or recurrent hernias may require staged procedures or involve longer recovery. Some patients may experience persistent discomfort or mesh-related sensations.

Individual variation

Healing, return to work, and overall satisfaction vary. Factors such as general health, wound infection history, and adherence to post-operative advice all play a role.

What happens if this is left untreated?

An untreated incisional hernia may gradually enlarge, making repair more complex over time. There is a risk that bowel or other tissue becomes trapped and loses its blood supply, a surgical emergency requiring urgent intervention. Some hernias remain stable for years, but regular monitoring is important.

When should you see a doctor?

Seek care if you notice a bulge at the site of a previous operation, especially if it causes discomfort or grows over time. Urgent assessment is needed if the bulge becomes suddenly painful, hard, or accompanied by nausea, vomiting, or inability to pass stool, as these may signal obstruction.

FAQ

About incisional hernia.

Can an incisional hernia heal on its own?
How soon after my original surgery can an incisional hernia appear?
Is mesh always used in incisional hernia repair?
Will I need to stay in hospital after hernia repair?
What can I do to prevent a hernia from coming back after repair?
Related Care

Procedures we offer.

Explore More

Related resources.

Related Procedures

Laparoscopic Hernia RepairOpen Hernia RepairComplex Abdominal Surgery

Related Conditions

Acid refluxGERD Hiatus herniaSwallowing disorders

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Don't let incisional hernia hold you back.

Early treatment means more options and better outcomes. Book a consultation to understand your condition and explore the right path forward.

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