Open Incisional Hernia Repair

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What is an incisional hernia?

Any operation on your abdomen needs a cut that is closed with stitches. Sometimes your wound does not heal properly and a weakness happens in the muscle layer. This results in the contents of your abdomen, along with the inner layer, pushing through your abdominal muscles. This produces a lump under your skin called a hernia.

What are the benefits of surgery?

You should no longer have the hernia. Surgery should prevent serious complications and allow you to return to normal activities.

Are there any alternatives to surgery?

You can sometimes control the hernia with supportive clothing or simply leave it alone. It will not get better without surgery.

What does the operation involve?

Various anaesthetic techniques are possible.

The operation usually takes about 90 minutes. Your surgeon will make a cut through your old scar. They will repair the weak tissue either with stitches only or using a synthetic mesh, which they will stitch to the muscles under your skin.

Your surgeon will close your skin over the repair. They may need to form a flap of skin over the repair so that your skin closes properly.

How soon will I recover?

You should be able to go home after 1 to 4 days.

Increase how much you walk around over the first few days.

Your doctor will tell you when you can return to work.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a full recovery and can return to normal activities. However, the hernia can come back.

What complications can happen?

Some complications can be serious and can even cause death.

General complications of any operation

  • Pain
  • Infection of the surgical site (wound)
  • Bleeding
  • Unsightly scarring of your skin
  • Blood clot in your leg
  • Blood clot in your lung

Specific complications of this operation

  • Developing a collection of blood (haematoma) or fluid (seroma) under your wound
  • Difficulty passing urine
  • Skin necrosis, where some of the skin flap dies
  • Injury to your bowel
  • Damage to nerves
  • Removing your umbilicus (belly button)

Availability

NHS/Private

Pricing*

Consultant
£452
Anaesthetist
£145
Hospital
£1,921
Guide price
£2,518

*The prices shown are minimum guide prices only. Diagnostic scans and investigations are not included unless otherwise stated. The exact cost of treatment will be made clear to you before you proceed.

This document is intended for information purposes only and should not replace advice your healthcare team gives you. This information is published under license from EIDO Healthcare UK and is protected by copyright. Other than for your personal, non-commercial use, you may not copy, print, download or otherwise reproduce it.

An incisional hernia is a weakness in your abdominal wall which happens when previous wounds do not heal properly. If left untreated, an incisional hernia can cause serious complications.

What to do next
  1. Talk to us about ways to pay, either insured or self-pay, and find out if you need a referral from your doctor.
  2. If you need one, ask your doctor for a referral letter.
  3. Call us to book an appointment with a consultant.
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I can’t thank everyone enough for the amazing care given. Such lovely attentive nurses. I will definitely recommend St Hughs and Mr Riaz and his team. Brilliant hospital.

Could not fault anything about my stay in St Hughs. Everybody was wonderful. Thank you all.

Everybody was kind, considerate and a jolly bunch, which helps to put you at ease and gives you confidence in knowing that they know what they are doing. 5 stars.

All staff extremely kind, patient and friendly. A credit to the hospital. Thank you.

Very good hospital and very good staff. I have never met so many caring people in one place. The nursing was 1st class. The encouragement to walk was also very good.

I had an amazing experience during my time at St Hugh’s Hospital, from my initial consultation to the aftercare following my procedure. Communication with the cosmetic nurse was brilliant; every member of staff I met was kind respectful, caring and polite. My surgeon was fantastic, so professional and kind, I trusted his knowledge completely.