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.
Most do. The great majority of incisional hernias require repair. Those that are large enough to allow structures like bowel to slip in and out easily and are associated with no symptoms at all can have surgery deferred. Unfortunately, over time, most people develop symptoms and require surgery. Also, larger hernias require larger fixes and the natural history is that incisional hernias tend to enlarge.
No. Not necessarily. If it does not bother you, is not increasing in size and does not incarcerate (get stuck) then you do not absolutely need to fix it. If, however, the above things are happening or it is a larger hernia thru a small defect in the muscle then it is better to fix it early vs later.

Related Questions

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

Geriatrics. No, you are not too old for surgery physiology and co-mornidities determine surgical risk. Not your age. Read more...
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...
No pain, do nothing. Being 88 and you are still blogging is a good sign..Kudo to you grandma! anyhow, incisional hernia is often large and may not cause pain and is not dangerous. If you are not having pain, you need not do anything. You can use some belly-support similar to those use in pregnancy to keep comfortable. Surgical supply store may have support belts as well. Consult your doc. Good luck. Read more...
See below. Possibly the best remedy for someone who cannot have surgery is an abdominal binder. The external compression should help somewhat with comfort during the day. Speak to your doctor about it. Read more...

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

May be adhesions. You may have adhesion s due to scar tissue, diagnosis of incisional hernia is not difficult in most of the times except in obese people.A small hernia is difficult to feel the defect. An ct scan will show abdominal wall defects. Read more...
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...

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...
Probably. You should let pain and discomfort be your guide to activity level. Listen to your body and use common sense. Some exercising may actually make your postop recovery easier. Good luck! Read more...
See below. Would advise that it is probably not in your best interest to exercise strenuously before the repair. Would suggest you discuss directly with your surgeon. Read more...
Depends. . Depends on how likely it is for your intestine to be squeezed or get trapped. Some hernias are low risk and exercising is fine. Others have a high risk of 'strangulation' and exercise should be avoided. Best to ask your surgeon which type you have. If you have a lot of pain nausea or bloating with activity -- you probably should hold off. . Read more...

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?

Surgery. It sounds like you have an abdominal incisional hernia. If it is for an inguinal hernia that still has hernia you could consider surgery. Besides cosmetic, henia sacs may contain bowel etc. At your age a hernia repair will help improve your quality of life. See your doctor and talk to your parents and friends. Read more...
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...

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...
Not entirely. Sounds like there is some confusion. If you mean bilateral inguinal hernias that are small and minimally symptomatic, you should decide based on the goals of prevention and symptom relief. Incisional hernias are not described as bilateral. The cecum is a part of the large intestine, and if that is protruding through a hernia defect, it should generally be fixed. Hope this helps. Read more...

I'm sixty nine year old female with incisional hernia, not painful. Surgeon says not an emergency. Because of recurrence factor want to avoid surgery?

Careful observation. continue to follow up with your surgeon- I concur with avoiding surgery unless necessary. Read more...
Complex issue. In general, recurrent incisional hernias are difficult to repair (may be why there is a recurrence). Best to see a general or plastic surgeon with experience, expertise and interest in repair of complex incisional hernias. Options are observation, open/lap repair, or use if muscle flaps and/or a variety of mesh. Check Americas Hernia Society website to find a surgeon interested in hernia. Read more...
Asymptomatic? IF it is not painful and not increasing in size it can probably be safely watched. There are some hernias that are in danger of strangulating ( ask your surgeon) and these should be preemptively fixed. otherwise, if stable and asymptomatic can be safely watched indefinitely. Read more...

I had surgery for an incisional hernia after bladder surgery. Open surgery with large mesh. Will I ever be able to lift weights again?

Yes, assuming. your hernia repair is successful, which is the case in probably about 90% of the cases, more or less depending on size of hernia and strength of your native tissue. You should wait for several months before you start however. Discuss with your surgeon for specific recommendation. Read more...
Why not. After successful repair of hernia , should be able to resume all the activities progressively you did before surgery , best person to answer is your surgeon , will advise you the limitations once you heal completely . Read more...
You should . If everything goes well. And it should. You should be able to go back to weights. Start back slowly when ready and ease into it. No heavy 'jerks'. Slowly build back to where you were . Read more...

Can an incisional hernia occur above belly button after one week of gallbladder surgery?

Possible. It may be just a collection of blood and fluid , wait couple of wks to till the wound heals and go for post OP visit to your doctor . Read more...
Yes. A hernia is simply a defect in the fascia. That defect can develop through a weakening, over time, or it can be acute. It depends on the size. I would call the operating surgeon if you do not have a post op check within the next week. Since he/she knows their technique, they would be in a better position to say yes or no. Read more...

I had laparoscopic surgery 7 days ago for umbilical incisional hernia, repaired with 6" long mesh, still having lots of pain left lower tummy. Normal?

Yes. yes the pain will be there for a while you can minimizing it by wearing abdominal binder and applying some heat and make sure your bowls are regular. Read more...