Conversation: The conversation between human and AI assistant.
[|Human|] Last January My husband had prostate surgery.   His wound opened.  After that he had to wear a wound vac for about 6 weeks.   Now his incision scar caves in at the middle and he has a hernia.  He is going to have to have complete reconstruction of the stomach muscles.   Should this have happened in the first place?
[|AI|]  Hi there ! Good evening. I am Chat Doctor answering your query. Your husband must have had an open prostate surgery (not a transurethral one) which could result in a hernia in the incision site. This could result due to very many factors, like a week musculature, or a post-operative infection, due to chronic cough/constipation resulting in increased intro abdominal pressure or due to dehiscence of the suture line due to inability of the suture to hold both side of the incision in place. This would need an elective surgery which would close the defect and strengthen the musculature with a synthetic mesh. This could also be done by a laparoscopic method in competent hands and results are usually good. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.