Inguinal hernia surgery treats a bulge of intestine or fatty tissue pushing through a weak spot in the abdominal wall at the groin, causing swelling and pain. Its aim is to return the contents to place and strengthen the abdominal wall to reduce the chance of recurrence.
Open repair uses a single cut in the groin to push the hernia back and reinforce the wall. Laparoscopic repair uses small incisions, a camera and slim instruments, and in robotic repair the surgeon controls robotic arms. A surgical mesh is often used to strengthen the wall, and anesthesia may be general, spinal or local, depending on the technique and the patient.
The operation usually takes 30 to 90 minutes, and patients often go home the same day. Walking starts early, light activities resume within days, and heavy lifting is avoided for several weeks. The final result becomes clear within a few weeks as swelling settles, and it cannot be guaranteed that the hernia will not return.
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It usually removes the bulge and relieves pain, and it lowers the risk of the intestine becoming trapped in the hernia, a complication that needs emergency surgery. The surgeon chooses the most suitable technique.
It suits people whose inguinal hernia has been confirmed by examination or ultrasound, especially if it causes symptoms or is growing. Some small hernias without symptoms may only be monitored, depending on the surgeon's decision.
The doctor examines you and requests tests according to your age and health, and sets the fasting time before anesthesia. Do not stop any prescribed medicine, especially blood thinners, unless the doctor tells you to. Stopping smoking is advised.
Open repair uses one cut in the groin, while laparoscopic and robotic repair use small incisions that may mean less pain and shorter recovery in some cases. The surgeon chooses the technique according to the type of hernia and any previous operations.
The hernia contents are returned to the abdomen and the weak wall is reinforced, often with a surgical mesh, using the chosen technique and suitable anesthesia.
Mild pain and swelling are usual and ease with simple painkillers, and walking is possible on the same day. Most people return to desk work within days, while heavy work comes after several weeks with the surgeon's approval.
The bulge usually disappears right after surgery, and comfort settles within weeks. Results last a long time in most cases, but the hernia may sometimes return.
They include swelling, bruising, infection, bleeding, long-term pain in the area, recurrence, problems affecting the testicle or spermatic cord, and anesthesia-related complications. Injury to the intestine or blood vessels may rarely occur with laparoscopic and robotic repair.
Open repair leaves a small scar in the groin, while laparoscopic and robotic repair leave very small scars around the navel and lower abdomen. All of them fade with time.
Staying two to seven days is often enough, depending on the technique, the anesthesia and the course of recovery. The treating surgeon confirms the travel date after examination.
