Inguinal Hernia Treatment

An inguinal hernia occurs when a portion of the intestine or fatty tissue pushes through a weak spot in the lower abdominal wall near the groin. This is the most common type of hernia, particularly in men, often presenting as a noticeable bulge that causes discomfort when lifting, coughing, or standing for long periods. 

There are two kinds of inguinal hernias: direct and indirect. A direct inguinal hernia develops over time due to a weakened abdominal wall, typically affecting older adults. In contrast, an indirect inguinal hernia is a congenital condition that occurs when an opening in the inguinal canal fails to close properly before birth, making it more common in infants, children, and young adults. 

Treatment Options for an Inguinal Hernia

Surgery is the most effective treatment for an inguinal hernia. The recommended procedure depends on the size of the hernia, the patient’s overall health, and the risk of complications.

• Open Hernia Repair involves making an incision over the hernia, repositioning the tissue, and reinforcing the abdominal wall with sutures or surgical mesh.
• Laparoscopic Hernia Repair is a minimally invasive approach that uses small incisions and a tiny camera to guide the repair, often with mesh placement to strengthen the abdominal wall.
• Robotic-Assisted Hernia Repair provides enhanced precision using robotic instruments, improving outcomes for complex or recurrent hernias.

While surgery is the only way to repair an inguinal hernia, small hernias that are asymptomatic may be monitored through a "watchful waiting" approach. Your surgeon will assess whether delaying surgery is a safe option based on your symptoms and risk factors.

Benefits of Inguinal Hernia Surgery

Undergoing inguinal hernia surgery—whether laparoscopic, open, or robotic-assisted—offers several key benefits for patients struggling with hernia discomfort and limited mobility. The most immediate advantage is relief from the pain and discomfort, allowing you to return to normal daily tasks and activities.

Additionally, inguinal hernia surgery restores strength to the abdominal wall, thus reducing the likelihood of recurrence and allowing for greater mobility and physical activity. Minimally invasive laparoscopic techniques offer faster recovery times and less post-operative pain, while traditional open surgery provides a strong, durable repair for more complex hernias. 

What to Expect

Before Surgery

Patients will consult their surgeon before undergoing inguinal hernia surgery to discuss symptoms, medical history, and the best treatment approach. Pre-operative instructions may include avoiding food and drink for a certain period before surgery, adjusting medications if necessary, and arranging for post-surgical transportation and support.

During Surgery

The procedure itself is typically performed under general anesthesia and lasts about 30 minutes to an hour. Depending on the chosen approach, the surgeon will either make a small incision in the groin (open repair) or use tiny incisions with a camera and specialized instruments (laparoscopic repair) to reposition the herniated tissue and reinforce the weakened abdominal wall with stitches or a surgical mesh.

After Surgery

Most patients go home the same day, although some may require a short hospital stay depending on their overall health and the complexity of the repair. Recovery time varies, but most people can resume light activities within a few days and return to normal routines within a few weeks. 

Recovering From Inguinal Hernia Surgery

Mild to moderate pain, swelling, and bruising in the groin area are common in the days after inguinal hernia surgery, but these symptoms can be managed with prescribed or over-the-counter pain relievers. 

Typically, light activities, including walking and basic daily tasks, can be resumed within a few days. However, patients should avoid lifting anything heavier than 10-15 pounds and refrain from intense physical activity or straining during bowel movements for 4 to 6 weeks.

After an inguinal hernia surgery, your surgeon will also give you some recovery instructions, including:

• Following all wound care instructions to prevent infection.
• Staying hydrated and eating fiber-rich foods to prevent constipation and straining.
• Listening to your body—resume activities gradually and stop if pain increases.
• Attending follow-up appointments to ensure proper healing.

When post-surgery instructions are followed, most patients experience a smooth recovery and long-term relief after surgery, allowing them to return to a pain-free, active lifestyle.

Potential Risks and Side Effects

Though complications are rare when performed by an experienced, board-certified surgeon at Premier Surgical Network, inguinal hernia surgery can still carry the potential for risks and side effects. Some of these include:

• Pain and swelling: Some discomfort is normal after surgery but improves with time.
• Bruising or skin discoloration: Temporary bruising around the surgical site is common.
• Infection: Though rare, any signs of redness, warmth, or unusual drainage should be reported to a doctor.
• Seroma or hematoma formation: Fluid or blood may collect near the surgical site, sometimes requiring drainage.
• Nerve irritation or numbness: Some patients experience temporary tingling or numbness in the groin or upper thigh.
• Blood clots: While rare, patients are encouraged to move around soon after surgery to reduce this risk.

Most side effects are mild and temporary, but seeking medical attention promptly is important if symptoms seem severe or persistent.