Treatments & specialities
Complex Incisional Herniae Surgery
An incisional hernia is a bulge through weakness in a previous abdominal wound. Complex repair planning considers hernia size, symptoms, previous operations, imaging and whether open, laparoscopic or specialist reconstruction is safest.
General information only. Treatment choice depends on diagnosis, investigations, symptoms, fitness for surgery and consultation.
Quick patient guide
Repair a hernia at or near a previous abdominal incision.
Specialist hernia assessment and planned surgery.
Usually general anaesthesia.
Depends on hernia complexity and repair method.
Why might it be recommended?
- Bulge at a previous surgical scar
- Pain, enlargement or activity limitation
- Concern for obstruction, strangulation or skin changes
How you are assessed
Assessment may include standing examination and imaging such as ultrasound or CT to define the defect and plan repair.
Preparing for surgery
Preparation may include weight, smoking, constipation and medication optimisation, plus anaesthetic review.
What happens during the procedure?
The hernia contents are returned safely and the abdominal wall weakness is repaired, often with mesh reinforcement when appropriate.
Potential benefits
- Repair of the abdominal wall defect
- Reduced pain or bulging in selected patients
- Lower risk of future complication where repair is indicated
Risks and possible complications
- Wound infection, bleeding or fluid collection
- Bowel injury or obstruction
- Pain, recurrence or mesh-related problems
Recovery and aftercare
Aftercare includes wound care, pain management, abdominal support where advised and staged return to lifting and activity.
When to seek medical advice
Seek urgent help for a painful irreducible bulge, vomiting, fever, spreading redness, wound discharge or severe abdominal pain.
Alternatives
Alternatives may include observation, abdominal support, open repair or complex abdominal wall reconstruction.
Clinical review information
General information for consultation
This page is written as patient education and should be confirmed during consultation. It does not replace personalised medical advice.
Request a consultation
Ready to discuss Complex Incisional Hernia?
Use the appointment flow when you are ready to discuss symptoms, investigations and treatment options with Prof. Sheth.