After abdominal surgery, most people expect to be fully recovered within a couple of months. If a new bulge, discomfort, or pain develops near the surgical site months or even years later, it’s normal to be caught off guard. In some cases, these symptoms may indicate an incisional hernia.
Dr. David C. Treen, Jr., MD, FACS, has spent decades treating complex hernias at the Hernia Institute of Louisiana. With more than 30 years of experience and leadership roles in the American Hernia Society, he is widely recognized for his work in incisional hernia repair.
What Is an Incisional Hernia?
An incisional hernia involves tissue or part of an organ pushing through a weakened area in the abdominal wall near a previous surgical incision. Even after a successful operation, the muscles and connective tissues may not fully regain their original strength.
These hernias can appear shortly after an operation or occur gradually over time. Some remain small, while others grow larger and become uncomfortable.
Why Can Hernias Form After Surgery?
Any incision weakens the abdominal wall to some extent. During healing, the body forms scar tissue, but that tissue is not always as strong or flexible as healthy muscle.
Several factors increase the risk of developing a hernia after an abdominal procedure, including:
- Infection at the surgical site
- Obesity or excess abdominal pressure
- Heavy lifting too soon after the operation
- Chronic coughing
- Smoking
- Diabetes or poor wound healing
- Multiple abdominal procedures
Larger incisions and emergency surgeries may also raise the likelihood of an incisional hernia.
Common Signs of an Incisional Hernia
Symptoms vary depending on the size and location of the hernia. Some people notice only a mild bulge, while others experience ongoing pain or pressure.
Common warning signs include:
- A visible lump near a previous incision
- Pain when coughing, lifting, or bending
- Abdominal pressure or heaviness
- Swelling that becomes more noticeable while standing
- Discomfort during physical activity
In severe cases, part of the intestine can become trapped, which may require immediate medical attention.
When Should You Seek Treatment?
Some small hernias cause few problems at first, but they rarely go away on their own. Over time, they may grow larger and become harder to repair. If you start noticing signs of an incisional hernia, like a visible lump or pain, reach out to a healthcare provider right away.
Get Experienced Hernia Care in New Orleans
A hernia after abdominal surgery can interfere with daily comfort and physical activity. The Hernia Institute of Louisiana in New Orleans provides unmatched care for patients dealing with incisional hernias and other abdominal wall concerns. Call 504-218-4922 to schedule a consultation.