Incisional Hernia

Excerpt

Incisional hernia refers to abdominal wall hernia at the site of a previous surgical incision. It is a type of ventral hernia. Midline incisional hernias are more common than other sites. It can be a definite hernia with all the hernia components of the defect, sac, and content. Or, it can be a weakness of the wall with shallow sac and occasional bulge of content. It is a common surgical problem. Surgeons are often asked to evaluate patients with incisional hernias as they can often be symptomatic to patients. The classical presentation is a bulge with a positive cough impulse at the site of the incision. Complicated incisional. Patients with incisional hernias are also at risk for incarceration, obstruction (if the content is bowel), or strangulation. This activity reviews the assessment and management principles of incisional hernia.