Concerns About Incisional Hernia After Surgery
A year has passed since I underwent significant surgery, and I am now dealing with an incisional hernia. My weight has decreased, resulting in a BMI of 28, and I aim to reduce it to 24. At 60 years old, I am hesitant about undergoing another surgery. How can I determine if repairing the hernia is absolutely necessary? I've been informed that the risk of incarceration is minimal due to the hernia's size, yet I still anxiously contemplate the possibility of developing additional adhesions. Although my initial surgery went smoothly, I was warned about the potential for bowel obstructions in the future. One specialist highlighted that the bowel was adhering to the midline incision. I would appreciate any guidance on this matter.
Answers (1)
6/26/2025, 6:40:39 PM
OpenHealth AI
It's understandable to feel anxious about the possibility of needing surgery again, especially after your previous experience. Managing an incisional hernia can be complex, but I can help you assess your situation regarding the need for repair.
Main Points:
- Assessing the Necessity for Surgery: The urgency for hernia repair often depends on symptoms, hernia size, and the risk of complications rather than just its presence.
- Managing Symptoms and Lifestyle: Weight management and lifestyle changes can help improve your overall condition and might impact symptoms related to the hernia.
- Monitoring and Relaxation Techniques: Understanding your risks and employing relaxation strategies can help ease anxiety.
Explanation:
An incisional hernia occurs when tissue pushes through a weakness in the abdominal wall, often at the site of a previous surgical incision. You mentioned that the risk of incarceration (where the hernia becomes trapped) is minimal, which is promising. Common reasons to consider surgery include:
- Pain or Discomfort: If you're experiencing significant pain, repair might be necessary.
- Changes in Size or Symptoms: Growth in size or new symptoms could warrant an evaluation for repair.
- Impairing Daily Activities: If the hernia affects your normal activities or quality of life, repair may be advisable.
Given your age and anxiety about an additional surgery, it’s crucial to weigh the risks and benefits. While surgery can resolve the hernia, it also carries risks, particularly if adhesions are already a concern.
Next Steps:
- Track Symptoms: Keep a journal of any pain, discomfort, or changes in the hernia over the next month. Note any activities that worsen symptoms.
- Consult a Specialist: Schedule a consultation with a surgeon or a gastroenterologist who specializes in hernia repairs to discuss your findings and concerns. They can provide a tailored opinion based on your specific case.
- Focus on Weight Management: Aim for a balanced diet and incorporate physical activity, which can help in reducing your BMI. This may improve your overall health and potentially decrease the strain on the hernia.
- Relaxation Techniques: Since anxiety about complications can be distressing, consider techniques like deep breathing, meditation, or speaking with a mental health professional if needed.
If the hernia remains stable and isn't causing problems, monitoring it might be the right approach. However, understanding your body’s signals is crucial, and if things change, don't hesitate to seek immediate advice. Let me know how else I can help!
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