Which doctor treats the scar hernia? | Scar fracture

Which doctor treats the scar hernia?

Since a scar break usually has to be treated surgically, you should consult a surgeon. The surgeon will plan with you when an operation is appropriate and what urgency it has. A small scar hernia that causes hardly any discomfort does not have to be treated in an emergency or particularly quickly. Since a scar hernia operation is performed on an already operated and pre-damaged field, it is recommended that it is surgically corrected between 3-12 months after the previous operation. If it is an emergency scar hernia with incarceration, this guideline value is of course not valid and surgery should be initiated immediately.

Treatment

A scar hernia is usually treated surgically. Various surgical techniques are possible: The choice of technique depends on the type and extent of the scar hernia and the previous operation. A rough distinction is made between open surgery and minimally invasive surgery.

More often the open surgical technique is chosen, in which the bulging hernia sac is exposed and brought back into the abdominal cavity. There are also differences in the closure of the surgical site. For example, a plastic mesh can be inserted for further stability before the wound is closed. Your treating surgeon will explain to you in detail which surgical technique is the most optimal in your case and how it will be performed in practice.

These bandages can help

Wearing a bandage over the hernial orifice is not a substitute for surgery. The use of these bandages is very controversial, depending on their use. The permanent wearing of a tight bandage weakens the surrounding muscles.

It is also important that a bandage does not cause the fracture site to grow together under any circumstances. According to specialist literature, the bandage even leads to dangerous organ entrapment more often than without a bandage. Wearing a bandage must therefore be evaluated critically and should be discussed with the treating physician.

After successful surgery of the umbilical hernia, however, the temporary wearing of an abdominal bandage can be a support in stabilizing the abdominal wall. It is best to discuss with your surgeon whether an abdominal bandage is recommended in your case after the operation. Postoperative abdominal bandages can also be called abdominal belts, as they are wrapped around the abdomen like a belt.

The same applies to the belt as to the abdominal bandages. They cannot replace an operation and may even have a negative effect on the course of the operation. After an operation, wearing a belt for a few weeks can be recommended by the treating surgeon.