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The abdominal wall consists of muscles and connective tissue. After the operation, where the abdomen is opened up with a large incision, the scar can rip open over time, and an incisional hernia can occur. Hernias are a connective tissue weakness at a natural entrance for vessels or the spermatic duct in the groin. The navel is also a typical weak point of the abdominal wall. 

Symptoms

New protrusions in the groin, the navel or in the area of a surgical scar are typical. These can cause pain and become larger over time. In rare cases, fat or intestinal loops become trapped in the hernia gaps. As a rule, this causes severe, lasting pain, and in some cases nausea and vomiting. A trapped hernia is an emergency and requires immediate medical attention!

Diagnosis

Often, a physical examination is sufficient to recognise the diagnosis of a hernia in the abdominal wall. In addition, an ultrasound scan or computer tomographies can be carried out to assess the precise extent of the hernia and recommend a surgical technique.

Therapie

Abdominal wall and inguinal hernias are treated with surgery. There are now various surgical techniques available, which have specific advantages depending on the hernia and constitution of the patient. The basic principle of the operation however, is to reinforce the abdominal wall with a mesh insert.