Scar fracture after a caesarean section

Even after a caesarean section, scar hernia can occur as a complication in the later course after the operation. Therefore, for example, the abdominal muscles should not be put under excessive strain in the first months after the operation. This is to prevent the scar from being put under too much tension and the pressure inside the abdominal cavity from increasing. Also during bowel movements, strong pressing can cause strong tension in the abdominal muscles, which irritates the scar. Does the scar of your caesarean section hurt?

Scarred abdominal hernia

The scar hernia on the abdomen is by far the most common scar hernia at all. There the scar hernia often occurs after a so-called median laparotomy incision in the middle of the abdomen. This incision is made lengthwise along the so-called linea alba of taut connective tissue. The linea alba is an intertwined tendon that serves as the point of origin and attachment of the lateral abdominal muscles.

Scar break after an operation

A scar hernia usually occurs after an operation on a scar. At the scar the tissue does not have the same stability and elasticity as at intact connective tissue. Therefore, there is a weak point where a hernia of the abdominal wall or skin can occur more easily. Often such a scar hernia occurs as a complication of an operation within one year after the operation.

Postoperative complications – What are they?

Diagnosis

The diagnosis of a scar hernia is made by talking to the patient and palpating the affected area. If a hernia sac can be palpated in this clinical examination, the scar hernia is quickly diagnosed. In addition, a clarification by means of ultrasound can be performed. Further measures, such as imaging diagnostics using an X-ray or computer tomography are only necessary in exceptional cases for a concrete clarification.

You can recognize a scar break by these symptoms

The most obvious feature of a scar hernia is a visible and palpable protrusion in the area of the surgical scar, which can be pushed back into the abdominal cavity. Usually this bulge becomes larger and more conspicuous over time.As the procedure progresses, pain may occur at this point – especially if the pressure inside the abdomen is increased. This happens, for example, when coughing, pressing during bowel movements, laughing hard or during sports.

If the hernia leads to entrapment of the intestines, further symptoms may occur: The hernial sac can often no longer be pushed back into the abdominal cavity.

Severe abdominal pain in the affected area,
Nausea,
Vomiting and
Fever can occur.

A newly occurring scar break does not necessarily lead to pain. If the hernia is only very small and fresh, it can also occur without pain.

Nevertheless, you should always have it examined by a doctor. However, pain at the site of the scar is very typical for a scar hernia. Especially when the pressure inside the abdominal cavity is increased, they occur more frequently.

This happens, for example, when coughing, laughing heavily, doing sports or pressing hard during bowel movements. If a very strong pain occurs which is accompanied by other symptoms such as nausea, vomiting and fever, a constriction of organs at the hernia may be present. This is an emergency and requires direct surgery.