Incisional hernia is also called ventral or postoperative because it is developed from a scar from previous operations in the abdomen. There are multiple causes for it:


  • Infection of the surgical hernia from previous operations.

  • By rejecting the suture.

  • Obesity at the time of the previous surgery or gaining too much weight in the immediate postoperative.

  • By making excessive efforts after surgery.

  • To suffer other concomitant diseases such as diabetes, pulmonary emphysema, male prostate disease, severe chronic constipation, malnutrition.

  • By one or more pregnancies after the first surgery.

  • By undergo more surgery on the same site of the abdomen.

The most important symptom of incisional hernia is the appearance of a tumor at the site of the scar or very close to it. This tumor volume increases of varying intensity on the same site.


Complications can occur with:

  • Progressive increase in the volume of the hernia, growing to excessive size, determining unsightly abdomen and generating asymmetries pain of shoveling.

  • When a structure or organ protruding abdomen or “exits” through the hole of the hernia and is set permanently unable to return to their place by external maneuvers. This complication can cause intestinal obstructions.

  • When these structures mentioned are “hanged” by the opening of the hernia causing them lack of circulation and the subsequent death of the trapped body if this may puncture the bowel and cause peritonitis.

The treatment of incisional hernia should be done as soon as it is identified, and should always be surgical, as this type of hernia grows with the passage of time and the possibility of complicating increases every day. Open techniques are best used with or without the application of plastic mesh can be supplemented by techniques aesthetic abdominal wall plasty to improve cosmetic results. They can also be used laparoscopic techniques. The risks of these surgeries are minimal and the possibility of postoperative complications, but often surgical drains must be installed inside the abdominal wall will remain in place for one to five days.