Incisional hernia – causes, symptoms and treatment

A scar fracture is a type of hernia that occurs when the contents of the abdomen, such as the small or large intestine and the omentum (fat), push through a weakened area in the abdominal wall caused by previous surgery. Symptoms of a scar fracture include pain, swelling near the incision site, nausea, vomiting, and constipation in the case of a blocked hernia. The treatment of an incisional hernia is always surgery. The type of operation depends on the type of presentation. This type of hernia is relatively common and accounts for up to 25% of all hernias.

In this blog post we discuss the causes, symptoms and treatment options of incisional hernias.

What is Incisional Hernia?

A scar fracture is a type of abdominal wall hernia that occurs after surgery. It develops when the contents of the abdomen, such as fat or organs, push through a weakened area in the abdominal wall muscle and bulge outward. A scar fracture can occur anytime after abdominal surgery, but usually appears within three months of surgery (usually while lifting heavy objects).

Simply put, an incisional hernia is a hole or tear in the muscle wall of your abdomen that allows the contents of your abdomen to pass through.

A scar fracture should be evaluated by a doctor if you experience symptoms. Treatment for an incisional hernia usually requires surgery.

Incisional hernia causes

A scar fracture is usually caused by a weakness in the abdominal wall muscles. If you have an incisional hernia, your body is no longer able to keep the contents of your abdomen inside as it should.

Scar hernias can also arise spontaneously with no known cause.

There are several factors that can increase your risk of developing an incisional hernia, including:

  • obesity Obesity can put pressure on your abdominal wall, which can lead to an incisional hernia.
  • chronic cough Chronic coughing strains the abdomen and weakens the muscles in this area. This makes it easier for fat or intestines, for example, to penetrate to a different part of the stomach than normal (hernia).
  • Straining during bowel movements or chronic constipation – Straining too hard when defecating is bad for your health! It causes stress and strain on both the muscles that support our back and those within us; both areas can weaken over time if this continues for a long time, resulting in an incisional hernia.
  • age Aging causes muscles to lose their strength and elasticity, which increases the risk of developing a herniated disc. Old age also increases your chances of having multiple surgeries over time (including abdominal surgery). This can lead to wear and tear on those same muscles that support our backs as well as those inside us, resulting in weakness that makes it easier than usual for, say, fat or gut to push through to another part of their stomach, pushing them down led. path as they get older!
  • Had multiple surgeries – Having surgery is one thing, but if you have had more than two abdominal surgeries, damage is likely to occur when the muscle tissue becomes weak or an injury has already occurred that precedes the hernia. Scar tissue can form after any surgery, and it’s not just a pretty pink ribbon that appears on our skin after surgery, but a physical reality for some patients in terms of weakened muscle fibers leading to hernias.
  • Smoking tobacco products Smoking reduces blood flow to the incisions in the body, making them more susceptible to infection; It also weakens the strength of tissues that heal from surgical wounds. Smoking increases the risk of complications after any type of surgery, including minor surgeries such as dental work and routine procedures such as colonoscopies.

You may notice symptoms right away, or they may appear weeks or even months after the initial injury.

Scar fracture symptoms

The most common symptom of scar fracture there is a bulge in the area where you had surgery.

Other symptoms include:

  • Sharp, burning pain at or near your surgery site (usually occurs with coughing and lifting heavy objects)
  • Nausea after eating fatty foods such as fried chicken wings. If this persists, see a doctor about possible ulceration of the upper part of the stomach wall due to pressure exerted by intestines pushing through instead of staying in their normal place in the sides of the body cavity! If left untreated, these can bleed internally and cause death. So don’t ignore signs that something is wrong with the health status of this particular organ, as they are likely an indication that something important has happened if they appear regularly over time!
  • Constipation – This is a common symptom of an incisional hernia. Yet it is also caused by many other things including poor diet and stress so if you have other reasons to think about an incision don’t worry too much about constipation being just an indicator as there are many other factors that play a role.
  • Diarrhea – This is not often associated with an incisional hernia, but it can happen if you are experiencing constipation.
  • A lump or bulge in the area where your surgery was performed (this can also be a sign of other types of hernias)

See your doctor if you have any of these symptoms.

Incisional Hernia Treatment

Scar fracture treatment depending on complications. But if the area feels tender or looks red/swollen, see a doctor right away to find out what kind of treatment options are available for that particular condition.

Surgery can still work even after months have passed since it was first noticed, because these things don’t always heal themselves without the intervention of professional medical personnel! You also want someone who has experience with this sort of thing before you go back under anesthesia, just in case something goes wrong during the surgery.

If you have a large incisional hernia with complications such as infection, your doctor may recommend surgery to repair it and reduce the risk of further damage.


Repair of a scar hernia depends on the diagnosis of scar fracture, Treatment options can range from simple surgery to complex surgery. If you experience symptoms, see a doctor immediately for diagnosis and treatment.

Dr. Vijay HS | Consultant – Surgical Gastroenterology | Narayana Multispeciality Hospital, HSR Layout, Bangalore

Leave a Comment