Surgical Procedures for Hernia Repair

Hernias can occur in various parts of the abdominal wall, and understanding the type of hernia is key to determining the best surgical approach.

Types of Hernias

Epigastric Hernia
Occurs in the upper abdomen, often as a result of weakened muscles allowing fat or tissue to push through. Learn More.

Spigelian Hernia
Develops along the side of the abdominal muscles, typically below the navel. These are less common but can be harder to diagnose. Learn More.

Incisional Hernia
Forms at the site of a previous surgical incision, where the abdominal wall may have weakened. Learn More.

Umbilical Hernia
Appears near the belly button when tissue pushes through a weak spot, often noticeable as a bulge. Learn More.

Inguinal Hernia
The most common type, occurring in the groin area when tissue, such as intestines, protrudes through a weak spot in the abdominal muscles. Learn More.

Surgical Procedures for Hernia Repair

Hernia repair surgery closes the weakened area in the abdominal wall, relieving discomfort and preventing complications like strangulation. The procedure strengthens the affected area, often using mesh reinforcement for long-term support. Our surgeons use one of three primary techniques:

Open Hernia Repair
Traditional surgery with a single incision near the hernia to directly repair the defect, often using mesh for reinforcement.

Laparoscopic Hernia Repair
Minimally invasive surgery using small incisions and a laparoscope to repair the hernia with precision and less postoperative discomfort.

Robotic-Assisted Repair
An advanced, minimally invasive technique where robotic technology enhances precision, visualization, and control, leading to potentially faster recovery and reduced pain.

 

Benefits of Having Hernia Repair Surgery

Hernia repair surgery not only relieves discomfort and restores mobility but also helps protect long-term health by preventing complications like hernia enlargement or strangulation. Premier Surgical Network's expert surgeons offer multiple advanced techniques, and each approach offers unique advantages. The best choice depends on individual patient factors, including hernia type, overall health, and recovery goals. Our specialists evaluate each case carefully to determine the most effective and personalized treatment plan.

Open Hernia Repair

• Effective for large or complex hernias: Provides excellent visibility for repairing larger or recurrent hernias.
• May be performed under local anesthesia: Reducing risks associated with general anesthesia.
• Direct surgical access: Allows the surgeon a clear view of the hernia defect for precise repair.
• Durable mesh reinforcement: Most procedures utilize tension-free mesh repair, strengthening the weakened area.
• Outpatient procedure with quick discharge: Many patients return home the same day and recover over a few weeks.

Laparoscopic Hernia Repair

• Minimally invasive: Requires only a few small incisions, reducing trauma to the body.
• Less postoperative discomfort: Smaller incisions typically mean less pain during recovery.
• Smaller, less noticeable scars: Offering a cosmetic benefit compared to traditional open repair.
• Faster return to activities: Many patients resume light activity within days, though full recovery still requires avoiding heavy lifting for six weeks.

Robotic-Assisted Hernia Repair

• Enhanced precision and control: Robotic technology allows for greater accuracy in hernia repair.
• Minimally invasive: Similar to laparoscopic surgery, with small incisions and quicker healing.
• Better visualization: Surgeons use a high-definition, magnified view, improving the ability to repair complex hernias.
• Potentially reduced pain and faster recovery: Some patients experience less discomfort than traditional methods.

 

Are You a Candidate?

Hernia repair surgery is recommended for individuals with a noticeable hernia, persistent pain, or symptoms that interfere with daily life. Candidates include those with:

• Chronic or worsening pain
• Visible bulges that increase with activity
• Hernias at risk of becoming strangulated
• Failed non-surgical treatments

What to Expect

Before

Before your hernia repair, your surgeon will review your medical history, discuss surgical options (open, laparoscopic, or robotic-assisted repair), and may order imaging tests like an ultrasound or CT scan to assess the hernia’s size and location. You’ll receive pre-surgical instructions, including when to stop eating, which medications to avoid, and arranging transportation home after the procedure. Your care team will ensure you feel informed and prepared for surgery.

During

Open Hernia Repair: The surgeon makes a single incision near the hernia, repositions the tissue, and reinforces the area with mesh to prevent recurrence. This approach is effective for larger or recurrent hernias and allows direct access to the defect.

Laparoscopic Hernia Repair: A minimally invasive approach using small incisions, a tiny camera (laparoscope), and surgical instruments. The abdomen is inflated for visibility, and mesh is placed to reinforce the abdominal wall. This option is often used for smaller or uncomplicated hernias and may involve less recovery time.

Robotic-Assisted Hernia Repair: Similar to laparoscopic surgery but with enhanced precision and control using robotic technology. The surgeon operates from a console, allowing for high-definition visualization and delicate movements, which can improve outcomes and recovery for certain patients.

After

Most patients go home the same day after a brief recovery period. Soreness and swelling are expected, with open repair causing more localized discomfort, while laparoscopic and robotic repairs may involve less pain and faster healing. Your surgeon will provide instructions on managing pain, keeping the incision site clean, and avoiding strenuous activities for about six weeks. Follow-up visits are important to monitor healing and ensure a smooth recovery.

 

Recovering from Hernia Repair Surgery

Recovery time varies based on the type of hernia repair performed:

• Laparoscopic and robotic-assisted repairs often allow for a quicker return to light activities within 1–2 weeks.
• Open repair may require 4–6 weeks for full recovery.

No matter the approach, patients should avoid heavy lifting and activities that strain the abdominal muscles for at least six weeks to ensure proper healing and reduce the risk of recurrence. Your surgeon will provide personalized aftercare instructions, including wound care tips, pain management, and signs of complications to watch for. With proper care, most patients experience a smooth recovery and return to normal activities.

Symptoms to Monitor

If you notice the following during recovery, contact your doctor immediately:

• Excessive bleeding
• High fever or chills
• Increased swelling or redness at the incision
• Severe or worsening pain

Risks and Side Effects

Hernia repair surgery is generally safe and highly effective, but like any surgical procedure, it comes with some risks and potential side effects. These are usually mild and temporary, and your surgeon will take every precaution to minimize them.

• Hernia recurrence is rare, especially when the repair is done with mesh reinforcement, but it can happen in a small percentage of cases over time.
• Infections at the incision site are uncommon but can occur if the area is not kept clean.
• Mild pain, swelling, or bruising around the incision site is common and typically improves within a few days.
• Rarely, there may be bleeding or fluid buildup (seroma) in the surgical area, which your surgeon will monitor and address if needed.
• Some patients may experience temporary numbness or tingling near the surgical site due to nerve irritation, which usually resolves during recovery.