An incisional hernia occurs when tissue or intestine pushes through a weak spot in the abdominal wall at the site of a previous surgery. It can appear months or even years after the original operation. Many hernia patients notice a bulge or swelling near their old surgical scar, especially while standing, coughing, or lifting weights. Over time, the hernia may become painful, enlarge gradually, and affect day-to-day activities.
If you are looking for the best incisional hernia surgeon in Chennai, India, Dr. Pinak Dasgupta is one of the trusted Hernia Specialist in Chennai, he has 21+ years of surgical experience and over 5,000 hernia repairs, including complex and recurrent cases. As a highly experienced hernia doctor, he specialises in minimally invasive, laparoscopic, and advanced hernia robotic surgery, delivering safe procedures, faster recovery, and long-lasting results.
What is an Incisional Hernia?
An incisional hernia develops when the abdominal wall does not heal completely after surgery. This creates a weak area through which internal tissues can protrude.
The hernia can be small, large, or even giant, depending on the defect size.
Symptoms of Incisional Hernia
Common symptoms of incisional hernia include:
- Bulge near old surgical scar
- Pain or heaviness in the abdomen
- Discomfort while standing or lifting
- Increase in hernia size over time
- In severe cases, vomiting or severe pain if intestine gets trapped
Causes & Risk Factors:
Incisional hernia causes are often related to impaired wound healing or increased abdominal pressure after surgery. Common risk factors include:
- Previous abdominal surgeries
- Weak healing of surgical site
- Obesity
- Diabetes
- Chronic coughing
- Heavy lifting
- Post-operative infection
- Multiple pregnancies
- Smoking
Identifying these factors early helps in accurate hernia diagnosis and timely treatment.
Treatment Options for Incisional Hernia:
- Open Incisional Hernia Repair: Open repair is preferred for large or complex hernias. A detailed incision is made along the previous surgical scar, and the herniated tissue is gently placed back inside. The weakened abdominal wall is reinforced using a strong mesh to prevent future recurrence. This method allows the surgeon to directly visualise the defect and repair it safely. Open repair is ideal for hernias that cannot be treated using minimally invasive techniques or when the defect is very large. Recovery is smooth with proper post-operative support.
- Laparoscopic Incisional Hernia Repair: Laparoscopic surgery is a minimally invasive technique performed using small cuts and a high-definition camera. A mesh is placed inside the abdomen to strengthen the weak area and close the defect from within. This approach ensures less post-operative pain, minimal scarring, and faster return to normal activities. Laparoscopic repair is highly recommended for medium-sized hernias, patients who want a quicker recovery, and those with multiple small hernias near the scar line. It also reduces the risk of wound infection.
- Robotic Incisional Hernia Repair: Hernia robotic surgery is the most advanced option for complex, recurrent, or large hernias. Using the Da Vinci system, Dr. Pinak Dasgupta performs precise repairs such as TAR, e-TEP, posterior component separation, and abdominal wall reconstruction. Benefits include superior mesh placement, minimal pain, rapid recovery, and excellent long-term results.
Why Choose Us for Incisional Hernia Treatment in Chennai?
- Specialised in Complex & Recurrent Incisional Hernias: With over 21+ years of surgical experience and 5,000+ hernia surgeries performed, Dr. Pinak Dasgupta is renowned for managing difficult, multi-recurrent, and large incisional hernias using advanced techniques such as TAR (Transversus Abdominis Release) and abdominal wall reconstruction.
- Advanced Laparoscopic & Robotic Options: A DaVinci Certified Robotic Console Surgeon, Dr. Pinak Dasgupta offers state-of-the-art laparoscopic and robotic hernia repair, ensuring less pain, faster recovery, minimal scarring, and quicker return to work—ideal for working professionals and international patients.
- High Success Rate with Low Recurrence: Backed by scientifically proven mesh-based repair protocols and high-volume hernia expertise, Dr. Pinak Dasgupta achieves excellent long-term outcomes with a consistently low recurrence rate, even in complex incisional hernias.
- Expert in Abdominal Wall Reconstruction: Large and giant incisional hernias are treated using specialised reconstructive techniques that restore both strength and function of the abdominal wall, helping patients regain confidence and quality of life.
- Award-Winning Robotic Hernia Surgeon: Dr. Pinak Dasgupta excellence is recognised nationally and internationally, with prestigious honours including the Award for Excellence in Hernia Surgery (2021), IAGES Shining Star Award (2022), multiple Best Video Awards at CRSA, ANZ AWR, and HSICON, and global recognition through video selections at KSELS, Korea.
- Patient-Centric & Personalised Care: Every patient receives a customised treatment plan, focusing on safety, comfort, faster healing, and long-term results—delivered under the care of one of the leading robotic hernia surgeons in Chennai.
Cost of Incisional Hernia Treatment in Chennai:
The cost of incisional hernia surgery in Chennai depends on defect size, complexity, mesh type, and technique used (open, laparoscopic, or robotic). On average, costs range from ₹60,000 to ₹2,50,000, with advanced robotic procedures priced higher. International patients receive transparent estimates and planned treatment packages.
Book an appointment with an experienced hernia doctor today for accurate hernia diagnosis and personalised hernia treat plans that restore strength, comfort, and quality of life.
Frequently Asked Questions (FAQ's):
It happens when the surgical wound does not heal properly, causing a weak area in the abdominal wall.
No. Once formed, it cannot heal on its own. Surgery is the only permanent solution.
Most patients recover within 5–10 days, depending on the technique used. Laparoscopic and robotic procedures offer faster recovery.
Modern minimally invasive techniques ensure very minimal pain compared to traditional open surgery.
With proper mesh placement and expert surgical technique, recurrence chances are very low.
Yes, we provide full support for international patients, including virtual consultation, travel guidance, and post-surgery follow-up.

