Hernia Repair

Hernia repair procedures, or herniorrhaphy, move the organ or body part back into its natural position and repair any damage caused. They can be hiatus, inguinal, or umbilical procedures, depending on the point of entry.

Hernia repair can be performed through the traditional open method or through the minimally invasive laparoscopic method. Hernia repair is usually performed on an outpatient basis. It can be performed under local or general anaesthesia. The procedure is usually completed in two hours or less.

One of the most common causes of herniation is a small portion of the intestine or fat poking through a vulnerable area in the muscular wall of the abdomen. This causes a painful bulge, often around the groin. It can disrupt ordinary functions in various areas. In men, a small hole in the abdominal wall in the groin area which the testicle cord passes through can also become enlarged, causing herniation.

A traditional, open hernia repair requires an incision of several inches around the herniated area. The herniated part is put back in place and the torn area is repaired. The incision is then closed. Surgeons may also use synthetic mesh patches to repair a hernia, which can reduce the chance of repeated herniation but may also make scarring more likely. Traditional hernia repair can usually be performed under local or general anaesthesia.

Laparoscopic Hernia Repair

Laparoscopic hernia repair is less invasive. Several small incisions are made and a laparoscope is inserted. A laparoscope is a telescopic instrument with a camera on the end which allows a surgeon to operate without fully opening the area. Non-dangerous gas is injected to inflate the abdomen. The herniated part is gently returned to its natural position and a mesh is usually placed over the weakened part of the abdominal wall and stitched or stapled in place. The incisions are then closed. Laparoscopic repair generally requires general anaesthesia. It requires a shorter recovery period than the traditional method.

Before Surgery

After a hernia diagnosis, a surgeon will discuss treatment options. The patient will be assessed for suitability for surgery. Tests such as blood tests and EKG may be performed. Pregnant people cannot undergo hernia repair. Certain medications should be paused in the period before hernia repair surgery. Your doctor will provide advice on this. You will also be asked to fast from the night before your surgery.

Hernia repairs are low-risk procedures. There are minor risks of bleeding, infection, and injury to the intestine. Your doctor will perform a full assessment before the procedure to ensure that you are a suitable candidate without any excessive risk factors.

After the Procedure

After a hernia repair procedure, patients can usually return to regular activities within a few days. However, a return to more demanding physical work may take two weeks or longer. You should seek medical advice before returning to heavier activities such as physically demanding work or sports. You should call your doctor if you experience severe or persistent pain, fever, bleeding or tenderness or inflammation of the incision area. Hernias generally do not recur but it is possible in some cases, in which case another procedure may be necessary.