Typically, laparoscopic methods are used to reposition the protruding structures or tissues and repair the muscle defect. Small defects are usually sutured closed. If the defect is large, a mesh graft may be performed to effectively cover the hole and prevent protrusion from occurring again. Using a mesh graft also reduces the odds of recurrence with larger protrusions. If laparoscopic techniques are used, the incision is closed with either a special type of glue or sticky bandages (steri-strips).
If surgery for an incisional hernia is necessary, most patients are able to return to their normal activities in about 2-4 weeks. During the initial recovery period, anything that creates excessive abnormal pressure should be avoided, including straining while making bowel movements, forceful sneezing or coughing, and lifting anything heavy. Since incisional hernias are related to abdominal surgery, the most effective preventative step may be for patients to make an effort to strengthen abdominal and core muscles as much as possible following any type of surgery in this area.