Incisional Hernia Surgery
| Discussion in 'All Categories' started by Naeema - Jul 17th, 2024 12:14 pm. | |
Naeema
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I had an operation for incisional hernia 2 years ago and now hernia has occurred again. What could be the reason for this? |
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re: Incisional Hernia Surgery
by Dr. B. S. Bhalla -
Jul 17th, 2024
12:30 pm
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Dr. B. S. Bhalla
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Recurrent incisional hernias can occur for various reasons, including: Inadequate Healing: Poor wound healing due to factors such as infection, inadequate blood supply, or poor surgical technique can lead to recurrence. Increased Intra-abdominal Pressure: Activities or conditions that increase pressure within the abdomen, such as heavy lifting, chronic coughing, constipation, obesity, or pregnancy, can contribute to hernia recurrence. Weakness of Abdominal Wall: The inherent weakness of the abdominal muscles and fascia can predispose to hernia recurrence, especially if the original repair did not adequately reinforce the weakened area. Tension on Repair Site: If the original hernia repair was performed under tension, it is more likely to fail. Tension-free techniques, such as using mesh, are preferred to reduce recurrence rates. Mesh Issues: If mesh was used in the initial repair, issues such as mesh migration, shrinkage, or infection can lead to recurrence. Patient-Related Factors: Conditions like diabetes, smoking, malnutrition, and immunosuppression can impair healing and increase the risk of recurrence. |