An incisional hernia appears over the scar of a previous operation. Its repair follows a well-established protocol and uses a mesh to give the abdominal wall lasting strength. Your surgeon will explain the most suitable technique for your case.
Before surgery
Physical preparationDaily walking and stopping smoking greatly improve the outcome. If you are overweight, losing some weight clearly reduces the risk of recurrence.
Pre-operative assessmentFor large hernias, imaging tests or specific preparatory measures may be requested before surgery.
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
MedicationTell us if you take blood thinners, antiplatelets or diabetes medication. You will receive specific instructions.
HygieneShower with soap and water the night before and that morning.
The day of surgery
AnaesthesiaGeneral anaesthesia, sometimes with nerve blocks for better pain control.
TechniqueThe abdominal wall is repositioned and reinforced with a mesh, through open, laparoscopic or robotic surgery depending on the case.
DurationHighly variable depending on size: usually between 1 and 3 hours.
DrainFor large hernias a drain is often left for a few days to prevent fluid build-up.
After surgery
Pain and tightnessYou will feel tension in the abdominal wall for the first few weeks: this is expected and gradually eases. Take your painkillers as prescribed.
Getting movingWalk from day one, without straining your abdomen. Get out of bed by rolling onto your side.
Abdominal binderIf a binder is recommended, use it as instructed: it adds comfort and supports the repair.
ExertionNo lifting or abdominal exercise for 6–8 weeks. Walking, yes — from the start.
SeromaA soft fluid lump under the wound is common. It usually reabsorbs on its own; mention it at your check-up.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
