The hernia in the postoperative scar – can it be avoided?

Michał Tobiasz, Agnieszka Turkosz, Mateusz Smorąg, Maciej Tobiasz, Paweł Polski


The surgery of hernia is the most common surgical procedure performed around the world. It estimates that every year this problem affects about 20 million people including 30% of it is a abdominal hernia. Despite constant advances in surgical technique, imaging methods and the meaning of muscle biomechanics, the hernia still pose a serious challenge to physicians. The best chance of effective cure is the first repair surgery, however, postoperative hernias occur in approximately 15-20% of patients. The aim of this work is to show the problem of hernias appearing in a scar after a previously performed operation. This article contains basic information on factors that increase the risk of hernia recurrence, classification according to the recommendations of the European Hernia Society (EHS), the clinical picture and the recommended treatment for hernia.


hernia in the scar; postoperative complications; surgical treatment

Full Text:



Bougard H, Coolen D, de Beer R et al.: HIG (SA) Guidelines for the management of ventral hernias. S Afr J Surg [Internet] 2016; 54(4): 1-32.

Brown SR, Tiernan J. Transverse verses midline incisions for abdominal surgery. The Cochrane Library. 2005.

Burger JWA, Luijendijk RW, Hop WCJ et al.: Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia. Ann Surg 2004; 240(4): 578-585.

Czernik J: Chirurgia dziecięca. Wydawnictwo Lekarskie PZWL, Warszawa 2005: 105–112.

Fortelny RH, Baumann P, Thasler WE et al.: Effect of suture technique on the occurrence of incisional hernia after elective midline abdominal wall closure: study protocol for a randomized controlled trial. Trials 2015; 16: 52.

Golaszewski P, Wozniewska P, Dawidowska J, Pawluszewicz P, Soldatow M, Wyszynska M, Razak H: Incisional hernia – clinical characteristics, diagnosis and treatment. Post N Med 2018; 31(5): 296-300.

Grous A, Tarnowski W: Ocena wyników leczenia przepuklin brzusznych metodą laparoskopową – pierwsze wyniki. Postępy Nauk Medycznych 2011;24 (1) 16-19.

Jończyk J, Jankau J, Kondej K et al.: Rzadkie, zagrażające życiu powikłania zabiegów chirurgii estetycznej. Chirurgia Plastyczna i Oparzenia 2018; 6(4):127-132.

Komorowski A L.: Przepukliny brzuszne. Medycyna Praktyczna 2017. Dostęp:,przepukliny-brzuszne

Kuś H, Mackiewicz Z: Przepukliny brzuszne. Wydawnictwo Lekarskie PZWL, Warszawa 1997: 76–96.

Martindale RG, Deveney CW.: Preoperative risk reduction: Strategies to optimize outcomes. Surg Clin North Am. 2013;93(5):1041-1055.

Muysoms FE, Miserez M, Berrevoet F et al.: Classification of primary and incisional abdominal wall hernias. Hernia 2009; 13(4): 407-414.

Noszczyk W: Chirurgia Repetytorium. Wydawnictwo Lekarskie PZWL. Warszawa 2012; 416-425.

Patel PV, Merchant AM. Ventral hernia repair in the morbidly obese patient: A review of medical and surgical approaches in the literature. Bariatr Surg Pract Patient Care. 2014;9(2):61-65.

Podolsky ER, Mouhlas A, Wu AS: Single Port Access (SPA) laparoscopic ventral hernia repair: initial report of 30 cases. Surg Endosc 2010; 24 (7): 1557-61.

Poulose BK, Shelton J, Phillips S et al.: Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 2012; 16:179-183.

Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009; 13(4): 343–403.

Smereczyński A, Kołaczyk K: Znaczenie ultrasonografii w diagnostyce przepuklin powłok brzusznych. Pediatr Med Rodz 2014, 10 (4), p. 398–404.

Śmietański M: Operacja laparoskopowego zaopatrzenia przepukliny brzusznej z implantem wewnątrzotrzewnowym. Medycyna po Dyplomie 2015; 3: 27-33.

Tonni G, Pattaccini P, Ventura A et al.: The role of ultrasound and antenatal single-shot fast spin-echo MRI in the evaluation of herniated bowel in case of first trimester ultrasound diagnosis of fetal gastroschisis. Arch Gynecol Obstet 2011; 283: 903–908.



  • There are currently no refbacks.

Copyright (c) 2019 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski