All about abdominal wall hernia: recognizing, treating and preventing
What are the symptoms of an abdominal wall hernia?
An abdominal wall hernia, also called hernia abdominalis, is a weak spot or opening in the abdominal wall through which the peritoneum or a part of the intestine can protrude. You often notice this as a swelling or bulge on the abdomen, which becomes more visible when you cough, strain or stand. Many people experience a nagging, pressing or sometimes burning sensation around the swelling. In the early stage, an abdominal wall hernia does not always cause pain, but symptoms can worsen with exertion, lifting or prolonged standing. The swelling usually disappears when you lie down. When the hernia becomes larger, it may remain visible or palpable even at rest. Sometimes pain or a dull feeling occurs, especially with sudden movements. In severe cases, nausea, vomiting or constipation can occur. This may indicate intestinal entrapment and is a medical emergency.
What to do with an abdominal wall hernia?
If you notice a swelling or suspicious spot on your abdomen, it is wise to contact your general practitioner. They can determine whether it is an abdominal wall hernia and assess whether treatment is needed. Until it is clear what is going on, it is best to avoid heavy physical exertion, lifting and straining. In some cases, wearing a supportive abdominal binder is advised.
Treatment of an abdominal wall hernia
Not every abdominal wall hernia needs immediate surgery. Small hernias without symptoms can sometimes be monitored. However, if the hernia enlarges, causes complaints or there is a risk of intestinal entrapment, surgery is usually recommended. During surgery, the opening in the abdominal wall is closed, often with a synthetic mesh for extra reinforcement. After surgery, an abdominal binder or brace can support the abdominal wall and promote recovery.
Is an abdominal wall hernia dangerous?
An abdominal wall hernia is usually not immediately dangerous, but it can lead to complications. The main risk is that a part of the intestine or peritoneum becomes trapped in the hernia. This causes severe pain, a hard bulge that cannot be pushed back, nausea or vomiting. This is a medical emergency that requires immediate treatment to prevent serious intestinal damage. If you experience these symptoms, contact a doctor or hospital immediately.
How long does recovery from an abdominal wall hernia take?
After surgery for an abdominal wall hernia, you can usually resume light activities after a few days. Full recovery means you can do everything again without risk of complications. This often takes six to twelve weeks. It is important not to lift heavy loads, to take good care of the wound and to follow the advice of your specialist or physiotherapist. If you wear an abdominal binder or brace, use it as advised to support the abdominal wall during recovery.
We sell various supports for an abdominal wall hernia. See our range in the overview below:
| Product | Indication | Height | Sizing |
|---|---|---|---|
| EMO Abdominal Binder | Abdominal wall hernia, umbilical hernia, edema | 32 cm | S–XXXL |
| EMO Rib brace / torso support | Abdominal wall hernia, bruised/broken ribs, edema | 24 cm | S–XXXL |
| Teyder Abdominal Binder | Abdominal wall hernia, (small) umbilical hernia | 33 cm | S/M–XXL |
| Teyder rib brace / torso support | Abdominal wall hernia, bruised/broken ribs, edema | 25 cm | S/M–XXL |
Differences:
EMO supports have a more premium finish and are available in more sizes, ideal for sensitive skin.
Teyder supports are affordable and simple, with different heights for light to moderate support.
Rib braces are shorter and mainly intended for rib injuries, while abdominal binders provide broader abdominal support.
Would you like personalized advice or help choosing the right support? Feel free to contact us!
What should you not do with an abdominal wall hernia?
- Avoid heavy lifting, straining and intense coughing without support.
- Do not ignore pain or swelling, or changes in the hernia’s shape or color.
- Do not try to push the hernia back in case of severe pain or nausea.
Strengthening the abdominal wall
A strong abdominal wall is important for posture, daily movement and preventing complaints or injuries. Practical tips:
- Do targeted core exercises under the supervision of a physiotherapist.
- Maintain a healthy weight and avoid heavy lifting or straining.
- Stop smoking; this improves circulation and connective tissue recovery.
- Good posture and core stability exercises help reduce pressure on the abdominal wall.
Sports and an abdominal wall hernia
Exercising with a large incisional hernia is certainly possible. Guidance from a physiotherapist is very important. Before surgery this helps you enter the procedure in the best possible condition. After surgery, physiotherapy is just as valuable to promote recovery and maintain fitness, especially with complex abdominal wall hernias.
