Eventration

Very low urgency
--

An eventration is a hernia (exit of any organ or tissue out of the body cavity in which it is normally housed) that appears in the incision area of a previous abdominal surgery.

It occurs as a result of poor healing after abdominal surgery. Factors that may play a role are obesity, advanced age, malnutrition, ascites or liver and kidney problems, the existence of a post-surgical hematoma, smoking or chronic coughing, a history of multiple pregnancies, and lifting heavy objects or performing intense exercise.

The most common symptom is the appearance of a deformity in the abdominal wall in the area of the scar or close to it. It is usually accompanied by discomfort and pain, the degree of which may vary. Other complications that can arise are alterations in the functioning of the intestinal transit causing episodes of obstruction, episodes of incarceration (the viscera are trapped inside the hernia) and strangulation (marked decrease in the circulation of the contents of the intestine or colon) which can lead to perforation of the intestine.

The diagnosis will be made through clinical history and physical examination, confirmed by imaging tests such as ultrasound and/or computed tomography.

Treatment is surgical, to remedy the discomfort, pain or possible complications caused by the eventration.

Bibliographic references
  1. David C Brooks, MD. Overview of abdominal wall hernias in adults. Uptodate. Jan 21, 2017.
  2. David C Brooks, MD, John Cone, MD. Management of ventral hernias. Uptodate. Aug 17, 2017.
  3. Bedewi MA, El-Sharkawy MS, Al Boukai AA, Al-Nakshabandi N. Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study. Hernia 2012; 16:59.
  4. Poulose BK, Beck WC, Phillips SE, et al. The chosen few: disproportionate resource use in ventral hernia repair. Am Surg 2013; 79:815.
  5. Beadles CA, Meagher AD, Charles AG. Trends in emergent hernia repair in the United States. JAMA Surg 2015; 150:194.
Copyright
© TeckelMedical 2026

Symptoms

    Abdominal lump near the scar


    Overweight or obese, BMI between 25 and 29.9


    Obesity, BMI higher or equal to 30


    Localized abdominal pain


    Defecates less than three times a week - constipation

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Vomiting
Abdominal pain that increases rapidly
A hernia bulge becomes red, purple or dark colored
Inability to evacuate the bowel or pass gas

Self-care

It is recommended to follow a balanced diet, consume water-soluble fiber (fruits and vegetables), avoid gas-producing foods (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners and refined sugar.
Try not to lift heavy objects.
Reduce tobacco consumption.