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Doctor insights on: Periumbilical Incisional Hernia

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Dr. David Earle
1,451 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more


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What kind of pain when you have incisional hernia?

What kind of pain when you have incisional hernia?

Dull pain first: At the sit of incision may be a dull pain with bulge first, then pain and size increases with time, able to push it in at first later, may gives complications like severe pain unable to reduce as it gets incaciraioned (even stragulation) causing bowel obstrucion including gangrene of gut. ...Read more

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What a lap incisional hernia?

What a lap incisional hernia?

Laparoscopic repair: Laparoscopic incisional hernia is repair of a hernia associated with a surgical incision by means of laparoscopic techniques. This entails use of small incisions, trocars, instruments that are placed through the trocars and repair of the hernia with the use of synthetic mesh or a biologic graft. Suture reapair is also possible but is typically reinforced by the mesh or graft. ...Read more

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Can bloatedness be due to incisional hernia?

Yes.: Especially if intestine is being squeezed in the hole (hernia) in your abdominal muscles. But there are many other things that can cause bloating. See your MD if not getting better ...Read more

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Incisional hernia. Is the mesh uncomfortable?

Incisional hernia. Is the mesh uncomfortable?

Depends: There are many types of mesh so part of the answer depends on what type of mesh is used some mesh is absorbable or partly absorbable so that can leave less foreign body. Mostly I would answer this one no. ...Read more

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Does incisional hernia always require surgery?

No: But most do or they enlarge and cause other trouble.
Risk - benefit is the calculation.
Includes what surgery was original.
Where is the incision?
How large is the current defect?
Contain bowel? Etc. ...Read more

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I am 88 and too old for surgery, I have incisional hernia and want a natural way to help. Can you recommend something?

Hernia Belt: There are hernia belts that work to keep the hernias reduced. They aren't great but something to try if you really do not want surgery. ...Read more

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I was diagnosed with an incisional hernia. It has been very painful so the dr decided to do a surgery today. Well theyinformed me there was no hernia and everything looked fine. My question is are they usually this easy to misdiagnose? Also what should I

Sometimes: An incisional hernia is a defect in the abdominal wall at the site of a previous surgical incision. They are usually straightforward to diagnose by physical exam in your surgeon's office, however in certain cases they are difficult to diagnose (obesity).
A diagnostic laparoscopy is helpful in these cases. If a defect is visible, it is repaired. Occasionally, however no true defect is found. ...Read more

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How do I avoid making an incisional hernia worse?

How do I avoid making an incisional hernia worse?

Avoid weight gain: Maintaining or losing weight and minimizing extraordinary abdominal wall stress is critical to avoid hernia exacerbation. ...Read more

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What's the type of pain that goes along with a incisional hernia?

What's the type of pain that goes along with a incisional hernia?

At hernia location: It is common to experience intermittent discomfort, sharp pain, and/or pressure at the location of the lump or lumps along the old incision. See a general surgeon to define and align goals for repair, and options for repair. ...Read more

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I have an incisional hernia and keep passing out due to pain what should I do?

I have an incisional hernia and keep passing out due to pain what should I do?

See your surgeon: Wear support brace, avoid putting stress on it, take otc pain meds including Tylenol and aleve since they work differently can take together. You should not have this pain see your surgeon ...Read more

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How will I know what does an incisional hernia feel like and what are the symptoms?

How will I know what does an incisional hernia feel like and what are the symptoms?

Pain and lump: Usually discomfort and swelling or lump forms under the scar at the site of prior surgery. Physical examination with your doctor is the best place to start. ...Read more

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Has any one had incisional hernia after a cesarean?

Has any one had incisional hernia after a cesarean?

Yes: An incisional hernia can occur following any abdominal surgery, although it is more likely with midline incisions. Patient-factors that can contribute to hernia formation include obesity, poor nutrition, smoking, steroid use, and multiple prior operations. Surgical repair is quite common and very effective. ...Read more

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As between a ventral hernia and an incisional hernia?

The same.: A ventrlal hernia is a hole anywhere along the front or ventral surface of the abdominal wall. An incisional hernia is a type of ventral hernia that forms after the abdominal wall is weakened by prior surgery. ...Read more

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Is the mesh treatment for incisional hernia safe to do?

Is the mesh treatment for incisional hernia safe to do?

Yes: There are however many different clinical scenarios, including the size and location of the hernia that will dictate the technique of repair which in turn will dictate the type of mesh that is best for you. ...Read more

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How long should you wait to return to normal duties after incisional hernia repair?

How long should you wait to return to normal duties after incisional hernia repair?

Incisional hernia: This is a tough question to answer as not all hernias are equivalent. Smaller hernias may allow patients to return to desk jobs in a few days. Larger hernias may take 6-12 weeks prior returning to work. Manual laborers will also require more time prior to returning to work. This is a question that needs to be discussed with your operating surgeon. ...Read more

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I have 5 CM incisional hernia to the extreme left of my umbilicus. I am 28 days pregnant now. Is there any risk?

Small risk: The biggest risk of any hernia is that bowel gets trapped. If you have any pain there, you need to be seen. The good news is that the pregnant uterus will lay over the defect and push the bowel away. ...Read more

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I have an incisional hernia in my abdomen. I've already had several repaired. Is there anything that I can do to keep it from strangulating?

I have an incisional hernia in my abdomen. I've already had several repaired. Is there anything that I can do to keep it from strangulating?

Recurrent hernia: Recurrent incisonal hernias are a challenge. Risks for re-recurrence are related to overall health. Smokers and overweight patients have the highest risk of recurrence. An abdominal binder may be worn to help hold the hernias in place throughout the day to prevent incarceration and strangulation. If you experience pain, you should lay down and attempt to reduce the hernia. ...Read more

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2months post op incisional hernia repair with mesh. Still looks like a hernia to me why?

Depends: One possibility is that your hernia came back immediately. (not good but rare). More commonly there is old blood or fluid (seroma) there that feels like a hernia but will eventually be reabsorbed and go away. Your surgeon should be able to tell you. And Ultrasound or CT scan can help if unsure. ...Read more

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Have an incisional hernia, surgery not for 2 months. Ok to exercise strenuously until then?

Have an incisional hernia, surgery not for 2 months. Ok to exercise strenuously until then?

Why not: Yes you can and there is no reason why you can not as long as it does not cause you any discomfort and/or pain. ...Read more

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I have 19 incisions from incisional hernia repair recently, when will I be able to lay on my sides again?

I have 19 incisions from incisional hernia repair recently, when will I be able to lay on my sides again?

Up to you.: Everyone feels pain differently. I have some patients who are back to laying on their side or other (Light weight) activities in a few days. And others who can't for weeks. As soon as you are comfortable you can do it. ...Read more

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Male wit 29 yr old have incisional hernia 4m 5 yrs. Its not painful, except cosmetic. .. I wear a abdomnial belt for same. Should I go for surgery?

Male wit 29 yr old have incisional hernia 4m 5 yrs. Its not painful, except cosmetic. .. I wear a abdomnial belt for same. Should I go for surgery?

Maybe: What you need to do is see a surgeon for a consultation, and explicitly let the surgeon know what your goals of operation are. The surgeon should then let you know how realistic it will be to meet those goals with surgery. ...Read more

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Could an incisional hernia cause vaginal bleeding?

Could an incisional hernia cause vaginal bleeding?

No: There should be no bleeding with a hernia. A hernia is just a defect (opening) in your abdominal muscles or tendon. ...Read more

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Does drinking alcohol increase the dangers if you have an incisional hernia?

Does drinking alcohol increase the dangers if you have an incisional hernia?

No: An incisional hernia can become dangerous if the organs protruding through the hernia (hole in abdominal wall) become twisted or stuck to the point the bloo supply gets cut off. Types of food or drink do not generally alter the risk. ...Read more

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Can drinking alcohol increase the dangers when you have an incisional hernia?

Can drinking alcohol increase the dangers when you have an incisional hernia?

Unrelated: Symptoms from an incisional hernia may be swelling, pressure, discomfort, pain. If the hernia causes marked pain with nausea and vomiting then the hernia needs to be evaluated by a doctor or emergency room urgently. Drinking alcohol in a smart and moderate amount would have no affect on a hernia condition. ...Read more

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Spoke to gs for bilateral incisional hernia since pain is minimal suggests no surgery and low risk of strangulated cecum do this sound right?

Spoke to gs for bilateral incisional hernia since pain is minimal suggests no surgery and low risk of strangulated cecum do this sound right?

2nd opinion: ? Bilateral incisional hernia? Incisional hernias occur along the length of the incision. It can be multiple i.e. Swiss cheese deformity but bilaterality? Are you referring to recurrent bilateral inguinal hernias? Anyhow, 2 nd opinion hernia consultation needs to be done in person. See a different surgeon before you make a final decision. ...Read more