Hernia Surgery
Incisional / Ventral Hernia Repair
Repairing hernias that develop at a previous surgical site
Overview
Incisional (or ventral) hernias develop at the site of a previous surgical incision, where the abdominal wall has weakened over time and allowed tissue to protrude through the scar.
Repair approaches vary considerably with hernia size and location, ranging from straightforward suture repair to more complex mesh reconstruction for larger defects.
Risk factors from the original surgery and recovery — wound infection, obesity, smoking, or repeated strain on the incision while it was healing — often play a role in why an incisional hernia developed in the first place, which is why these same factors are addressed where possible as part of planning a durable repair.
Candidacy
Is Incisional / Ventral Hernia Repair Right for You?
- A bulge developing at or near a previous surgical scar
- Discomfort or a dragging sensation around the hernia site
- A confirmed hernia on clinical examination or imaging
- A hernia that has grown larger or more symptomatic over time
- Fit for the anaesthesia and recovery demands of the planned repair
What to Expect
Your Journey
- 01
Consultation
Assessment of hernia size, abdominal wall quality, and any relevant factors from the original surgery that may affect repair planning.
- 02
Procedure
Repair technique — open or laparoscopic, with or without mesh — is tailored to the size and complexity of the defect.
- 03
Recovery
Recovery time varies with hernia size, with larger repairs typically requiring a longer, more gradual return to activity.
Recovery
Recovery & Aftercare
Smaller repairs often allow a quicker recovery, while larger, more complex incisional hernias may need a more extended and carefully staged recovery plan. Addressing modifiable risk factors — such as smoking or excess weight, where relevant — can meaningfully support a durable repair.
FAQ
Frequently Asked Questions
Why do incisional hernias happen?
They develop when the abdominal wall doesn't fully regain its strength after a previous incision, allowing tissue to push through over time.
Is mesh needed for every repair?
Larger defects usually benefit from mesh reinforcement, while some smaller hernias may be repaired with sutures alone.
Can this hernia recur again after repair?
There is a recurrence risk with any hernia repair, which is one reason surgical technique and post-operative care are both important.
What increases the risk of an incisional hernia?
Wound infection or poor healing after the original surgery, obesity, smoking, and repeated strain on the healing incision are recognised risk factors.
How large can an incisional hernia get if left untreated?
These hernias can enlarge progressively over time and, in some cases, become more complex to repair the longer they're left, which is why timely assessment is generally recommended.
Have Questions About Incisional / Ventral Hernia Repair?
Every case is different. Get in touch to discuss your situation, or keep reading for more on candidacy, recovery, and what to expect.
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