Once an abdominal hernia develops, it tends to increase in size. Surgery is usually recommended for most patients
The only way to fix a hernia is with surgery. Most people don’t know that hernia surgery has evolved significantly in the last few years. In most cases, the repair can be done quickly, you won’t need to stay in the hospital overnight, and recovery is rapid.
Usually, you can return to your normal activities within a few weeks following the repair, and sometimes within just a few days of surgery. Don’t let a hernia keep you from leading a normal, active life.
Today’s hernia repairs
- Can be done quickly
- Can be performed under local anaesthesia
- Usually do not require no hospital stay
- Enable rapid recovery with very little discomfort post-operatively
What are the different types of hernia repair?
There are two ways to fix an inguinal hernia
Open/Tension Free Repair
This is performed from the outside through a 2-3 inch incision in the groin or directly over the hernia. The incision will extend through the skin, underlying fat layer to allow the surgeon to get to the hernia and defect or hole in the muscle layer.
The contents of the hernia replaced back in the abdomen. A repair is then usually performed using a small piece of surgical mesh to cover the defect or hole. Surrounding tissue grows through the mesh, strengthening the area of weakness and permanently holding it in position.
This technique is usually performed with a local anaesthetic and sedation but may be performed using a spinal or general anaesthetic.
Tension free mesh repair of an inguinal hernia
For many hernias, it is possible to perform the repair using keyhole techniques (laparoscopic surgery). In this type of surgery, a long thin tube which has a camera attachment is passed through a small cut in the skin. This allows the surgeon to perform the operation by looking at a television monitor that is attached to the camera.
The hernia is repaired from behind the abdominal wall. A small piece of surgical mesh is fixed over the hernia defect and held in place with small surgical staples.
Three small incisions are usually necessary. This operation is usually performed with general anaesthesia or occasionally using regional or spinal anaesthesia. This technique may allow the patient to enjoy a shorter recovery time and experience less post-operative discomfort
Laparoscopic inguinal hernia repair