What is an operation site hernia?
In patients who have previously undergone open abdominal surgery for any reason, the bulging of the intra-abdominal organs outward from the area of tissue thinning and opening is called an incisional hernia (incisional hernia, incisional hernia). It is rarely seen after closed surgeries.
What are the Signs of Hernia at the Operation Site?
It may cause complaints such as swelling, bulging, swelling under the skin, pain in the area, abdominal pain especially after eating, constipation.
What Causes a Hernia at the Operation Site?
The causes of the operation site hernia can be divided into reasons related to the operation and the patient. Factors such as tension at the operation site, presence of a foreign body, concomitant infection, age, obesity, smoking, drugs and treatments that disrupt the immune system and wound healing, cough, constipation, heavy lifting that increase intra-abdominal pressure may cause hernia.
How is a Hernia Diagnosed?
Detailed anamnesis and physical examination are sufficient for diagnosis. Ultrasonography and tomography are performed to determine the size of the patch to be used during closed surgery. If the previous surgery was cancer surgery, oncological evaluation should be performed.
What is the Treatment of Hernia in the Place of Surgery?
Like all hernias, the treatment of an Operative Hernia is also possible with surgery. Whether the treatment of the hernia is open or closed, the aim is to repair the tissue loss and strengthen it with a synthetic patch material.
What is the risk if the operation site hernia is not treated?
Since the organ that bulges from the abdominal wall is often the intestines, if this intestine area in the hernia is compressed in the hernia sac, its circulation is impaired, the operation becomes urgent, and this intestine part, whose circulation is impaired and gangrenised during the operation, may need to be removed.
Laparoscopic (Closed) Surgery Place Hernia Surgery
Although surgical hernia operations can be performed with open repair, with today's modern medicine and technologies, almost every hernia patient can be operated with closed repair. It is a camera-guided surgery with special devices of 0.5-1 cm placed on the abdominal wall. The operation starts with the opening of the adhesions caused by hernia in the abdomen. After the opening in the abdominal muscle layer is clearly revealed, the edges are closed with approximation sutures. The specialised patch material of the appropriate size for this area is placed on the abdominal wall and the patch is attached to the abdominal wall with staple materials specially designed for this operation. After the operation, the patient recovers in a short time and can continue his/her daily life. There is no need for any restriction of movement.
46 Comments
İdris oğuz
March 2, 2023Hello, my teacher, I had surgery 12 years ago as a result of internal bleeding and intestinal rupture. 10 years after the operation, redness and swelling occurred at the site of the operation as if it had collected...constipation gas abdominal pain started.
Op. Dr. Gülden Ballı
March 16, 2023First of all, get well soon. You should definitely see a general surgeon as soon as possible
Hikmet Durmuş
February 1, 2023I had vernat hernia inguinal hernia surgery a month and a half ago, when I lie down, I feel swelling, stiffness and pain, what should we do?
Op. Dr. Gülden Ballı
March 16, 2023It is normal to have such feelings in the early period. However, if it persists, consult your doctor in terms of fluid collection and suture problems.
Mehmet Alparslan
January 27, 2023Dear Sir, hello; I had a surgical incision hernia surgery 10 days ago. My doctor said that we put a patch and sewed it to the abdominal muscle. I feel that there is stiffness in the operation site as if there is something inside. Is this a patch or another problem. If it is a patch, will I feel it constantly, or is it a temporary situation. Can you give information? Thank you, I wish you good work.
Op. Dr. Gülden Ballı
March 16, 2023First of all, get well soon. This feeling continues for a while after patch repairs. Tissue adaptation decreases considerably. If it continues, I strongly recommend that you contact your doctor.
Sevim deniz
January 13, 2023Hello, my teacher, I had a caesarean section 1.5 years ago, and now there is swelling on the lower left side of the navel towards the stitches, when I do not wear a corset, there is pain and swelling more, I do not know what to do, which doctor I should go to, can you help me. Thank you.
Op. Dr. Gülden Ballı
March 16, 2023Hello, first of all, get well soon. The condition you mentioned suggests a surgical hernia. The treatment of this disease is surgical. Using a corset has no therapeutic effect. You should definitely consult a general surgery doctor.
Sevim deniz
January 13, 2023Hello, my teacher, I had a caesarean section 1 and a half years ago, there was a lot of swelling of the stitches on the left side, and when I do not wear a corset, it gets bigger and hurts, what can happen, which doctor should I go to, how can I get rid of this situation, it bothers me a lot.
Op. Dr. Gülden Ballı
March 16, 2023Hello, first of all, get well soon. The condition you mentioned suggests a surgical hernia. The treatment of this disease is surgical. Using a corset has no therapeutic effect. You should definitely consult a general surgery doctor.
Enis Arslaneli
January 6, 2023Hello, teacher. I have a question. I would be very grateful if I could get a response. I had unilateral and open inguinal hernia surgery 6 days ago. But on the 6th day, I carried something up to 4.5kg. There is stiffness where the patch is, the sections are prominent. I don't know if it was like this before, but I don't know if it happened after I lifted this weight. But there is no pain or hernia prolapse. I wonder if the patch could have come out or the hernia could have moved out of its place? Thank you.
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. Weight lifting action after open surgery is a bit early. There is probably no problem, but if there is a progressive situation by observing yourself or if the swelling increases, contact your doctor quickly.
Murat çanakci
January 5, 2023It has been 9 days since the operation, there is sagging and swelling in the private part of the phytic surgery, I had the surgery on the left side and there is swelling and stiffness in my surgical site, I also have pain, please give me feedback.
Op. Dr. Gülden Ballı
January 11, 2023First of all, it is normal to have pain, swelling and stiffness in the early period. If there is a situation of increasing severity, please contact the operating physician.
İdris
December 4, 2022Hello, I had a work accident in 2010 and for this reason I had surgery due to stomach bleeding and intestinal rupture.12= years later, a slight slight swelling appeared from the place of surgery, as if the inside was blistered, what is the sbebei, thank you in advance.
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. Probably the cause is a wound site hernia. It needs to be examined. If it is a hernia, the treatment is surgery.
İdris
December 4, 2022Hello, I had a work accident in 2010 and for this reason, I had surgery due to stomach bleeding and intestinal rupture. 12= years later, a slight slight swelling appeared from the place of surgery, as if it was blistered inside, what is the reason, thank you in advance, sir.
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. Probably the cause is a wound site hernia. It needs to be examined. If it is a hernia, the treatment is surgery.
Abdullah
December 4, 2022The doctor said that we put a long square-shaped material, my patch surgery place is tubular, round and hard.
Op. Dr. Gülden Ballı
January 11, 2023If the complaint persists, it may need to be examined for fluid retention.
Abdullah
December 4, 2022Hocam, I had inguinal hernia surgery, my open surgery site is tubular round hard what is normal 10gun has been
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. Since it is still early, you may be feeling the yam and stitch stiffness. If it continues or increases, you may need to see a doctor.
Hakan aşcı
November 29, 2022Only when I give weight to the operation site, when there is pressure, the inner hardness prevents it and it seems to shake when I walk, thank you very much in advance.
Op. Dr. Gülden Ballı
January 11, 2023If the complaint persists, you should definitely have an examination. Hernia formation is common in cases of infection.
Naime hüseyinoğlu
November 28, 2022Merhab I had a lumbar hernia surgery about 1 month ago and I noticed that there is a slight swelling at the operation site, I wonder what this is and what kind of clothes I can wear.
Op. Dr. Gülden Ballı
January 11, 2023Lumbar disc herniation is not in our field. It would be healthier to consult the neurosurgeon or orthopaedic surgeon who performed the operation.
Rıdvan Şakar
November 16, 2022Hocam, I had inguinal hernia surgery 50 days ago, I feel that the patch inside is folded from bending and getting up while praying for the last 3 days, can it be in a troubled situation, regards.
Op. Dr. Gülden Ballı
January 11, 2023First of all, it is normal that you still feel the patch after the operation. But please consult your doctor to check whether there is a problem with the stitches holding the patch.
Mehmet Keskin
October 25, 2022Hello, I had umbilical hernia surgery about a month ago. When I touch my belly button now, a hardness comes to my hand, is this normal?
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. If repaired with a patch, you may be able to feel the patch or stitch. It would be appropriate to consult your physician for more precise information.
Ramazan kiziltoprak
October 5, 2022Hocam I had open kidney surgery, but there is swelling in the right kidney surgery site, the feature is very painful after eating, even when I drink water, I would appreciate your help.
Hakan aşcı
November 29, 2022Slm teacher, I had apestis surgery, after which I went to abze plustu 1 week dressing for abze, the stitches were taken for abze, there is no pain, but when you touch around the incision site, there are internal stiffness and there is a little swelling in the right abdomen 20 days after the operation.
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. In cases of postoperative infection, recovery may be later than expected. However, if there is a progressive condition, it may need to be examined.
Op. Dr. Gülden Ballı
October 6, 2022Hello Mr Ramazan. I think there is a hernia formation in the operation area. Be sure to be examined. If the hernia is detected, you will be treated appropriately and get rid of pain and pain. I wish you a healthy day.
Mehmet
September 3, 2022Hello, my husband had umbilical hernia surgery 10 days ago. 3 days ago, odourless discharge started to come and yesterday that discharge turned into brown and as a result of being soggy, the glued place was opened and they do not sew it, they say there is blood pressure, they say to dress the open wound, baticon burns what to do.
Op. Dr. Gülden Ballı
September 4, 2022Hello. First of all, get well soon. There is probably a problem of wound separation due to wound infection. I believe that the infection can be controlled with antibiotics and dressing and then stitches can be made. Please do not neglect your control and physician recommendations. Get well again
HATİCE ÇETİNKAYA
August 26, 2022HELLO HELLO, MY MOTHER HAD A UTERINE SURGERY, IT HAS BEEN ABOUT 3 MONTHS, THERE IS AN INTERNAL FOG AS MUCH AS AN APPLE IN THE PLACE OF THAT SURGERY, THAT IS, IN THE PLACE OF THE DRAIN, THERE IS PAIN, THERE IS PAIN FOR ABOUT 1 MONTH, THIS IS THE INCISION SITE HERNIA, WE WILL GO TO THE HOSPITAL, BUT MY MOTHER IS AFRAID, SHE DOES NOT WANT TO BE OPERATED AGAIN, CAN IT BE SOMETHING ELSE?
Op. Dr. Gülden Ballı
September 2, 2022Hello. First of all, get well soon The condition you mentioned can be anything from a simple fluid collection to a hernia. For this reason, it would be appropriate to evaluate as soon as possible.
Fatma solmaz
July 24, 2022Hello, I had umbilical hernia surgery in 2018, now I have swelling and pain in my belly again, when I went to my doctor again, ultrasound was taken and the pain said that it is normal to have swelling, but I do not feel well, if I do a little more walking or housework, my belly swells as much as a child's head, what should I do?
Op. Dr. Gülden Ballı
August 26, 2022Hello, first of all, get well soon. In this case, re-evaluation in terms of hernia recurrence would be appropriate. In patients with a history of surgery, evaluation of the current situation with tomography may be among the options. You can always contact us at +90 (543) 432 83 86 in cases where you want us to help. I wish you a healthy day.
HATİCE ÇETİNKAYA
August 26, 2022HELLO HELLO, MY MOTHER HAD A UTERINE SURGERY, IT HAS BEEN ABOUT 3 MONTHS, THERE IS AN INTERNAL FOG AS MUCH AS AN APPLE IN THE PLACE OF THAT SURGERY, THAT IS, IN THE PLACE OF THE DRAIN, THERE IS PAIN, THERE IS PAIN FOR ABOUT 1 MONTH, THIS IS THE INCISION SITE HERNIA, WE WILL GO TO THE HOSPITAL, BUT MY MOTHER IS AFRAID, SHE DOES NOT WANT TO BE OPERATED AGAIN, CAN IT BE SOMETHING ELSE?
Op. Dr. Gülden Ballı
September 2, 2022Hello. First of all, get well soon The condition you mentioned can be anything from a simple fluid collection to a hernia. For this reason, it would be appropriate to evaluate as soon as possible.
Mehmet Keskin
October 24, 2022Hello, I had open umbilical hernia surgery about 1 month ago. When I touch my belly button, I feel a hardness in my hand. Is this normal?
Op. Dr. Gülden Ballı
January 11, 2023First of all, get well soon. If repaired with a patch, you may be able to feel the patch or stitch. It would be appropriate to consult your physician for more precise information.
Ümit Saman
June 11, 2022Hello; Thank you very much for the information. 9 months ago, my gallbladder was removed by open surgery. Since the dressing was delayed, there was an infection at the operation site. The wound healed with antibiotics and frequent dressing. I have no complaints left. However, I noticed a swelling in the part of my stomach just below the operation site. A detailed examination was performed with ultrasound at a private hospital in our district. According to the ultrasound film and detailed report, I was told that everything was fine and that I should eat little and often. I already eat little food due to my age. My blood test results are fine. However, due to postoperative sneezing and infection, I have the idea that there may be a hernia just above my stomach. I am 60 years old.
Op. Dr. Gülden Ballı
June 24, 2022If the suspicion of hernia persists, further examination (tomography, endoscopy, etc.) may be required. Your follow-up physician will make the best decision. I wish you a healthy day.