An incisional hernia is characterized by the exit of internal organs (intestines, greater omentum) through defects in the area of the surgical scar outside the abdominal wall. A postoperative hernia is defined as a tumor-like protrusion in the area of a postoperative scar, accompanied by abdominal pain, with infringement - nausea, vomiting, absence of stool and discharge of gases.
In most cases, postoperative hernia is complicated by emergency surgical interventions. Such situations exclude the possibility of an adequate preoperative preparation of the gastrointestinal tract, which after the operation leads to impaired intestinal motility (flatulence, slowing down of the passage of intestinal masses), increased intra-abdominal pressure, deterioration of respiratory function, cough and, as a result, worsening conditions for the formation of a postoperative scar
Postoperative hernia symptoms:
The main manifestation of a hernia is the appearance of a protrusion along the line of the postoperative scar and on its sides. In the early stages, incisional hernias are reducible and painless. Soreness and an increase in tumor-like protrusion appears with sudden movements, straining, lifting weights. In this case, in a horizontal position, the hernia is reduced or easily repositioned.
Diagnostics of the incisional hernia
On examination, a hernia is defined as an asymmetric bulging in the area of the postoperative scar. In an upright position, when the patient strains or coughs, the size of the tumor-like protrusion increases. Sometimes, through a stretched and thinned scar, peristalsis of intestinal loops, splash noise and rumbling are determined.
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