Hernia Surgery
Incisional Hernia
An incisional hernia is a hernia that develops at the incision site of a previous abdominal operation as a result of weakening of the fascial integrity. It has been reported over the long term in 5 to 20% of open operations; obesity, infection, and impaired wound healing increase the risk.
Overview
Mesh repair is essential in treatment. Minimally invasive techniques such as robotic eTEP and IPOM can be applied with a low complication rate even in large defects.
Who Is It For?
- Those experiencing swelling, pain, or bulging at the site of a previous abdominal operation
- Cases of large incisional hernia at risk of bowel obstruction
- Cases of recurrent incisional hernia
- Cases combined with abdominal wall laxity after weight loss
Treatment Process
- 1
Pre-Assessment & Diagnosis
The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.
- 2
Planning & Preparation
An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.
- 3
Procedure / Operation
The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.
- 4
Follow-up & Monitoring
Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.
Recovery & Aftercare
Robotic techniques provide significantly less pain and faster recovery compared to open surgery.
Hospital Stay
1-4 days
Recovery Time
2-4 weeks
Follow-up
Day 10 and week 6
Frequently Asked Questions
Does an incisional hernia resolve on its own?
No. The hernia grows over time and can create a risk of incarceration. Surgical treatment is the only permanent solution.
In which situation is open surgery chosen?
Open techniques may be preferred in very large, complex, or infected areas; the decision is made on a patient-specific basis.
Can an incisional hernia be prevented?
Proper fascial closure technique during the operation, weight control, smoking cessation, and protection from infection significantly reduce the risk.
Can the mesh become infected?
Infection is rare with modern meshes. If an infection develops, antibiotic treatment and, rarely, removal of the mesh may be required.
The medical information on this page has been reviewed by Prof. Dr. Vahit Onur Gül. Last updated: 31 Temmuz 2026.
This information is for general guidance only and does not replace examination, diagnosis or treatment. Please consult your physician about your symptoms.
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