URL of this page: A hernia is tissue that bulges out of a weak spot in the abdominal wall.
Print Diagnosis A physical exam is usually all that's needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you'll likely be Inguinal hernia repair to stand and cough or strain.
If the diagnosis isn't readily apparent, your doctor might order an imaging test, such as an abdominal ultrasound, CT scan or MRI. Treatment If your hernia is small and isn't bothering you, your doctor might recommend watchful waiting. In children, the doctor might try applying manual pressure to reduce the bulge before considering surgery.
Enlarging or painful hernias usually require surgery to relieve discomfort and prevent serious complications. There are two general types of hernia operations — open hernia repair and laparoscopic repair. Open hernia repair In this procedure, which might be done with local anesthesia and sedation or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen.
The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh hernioplasty. The opening is then closed with stitches, staples or surgical glue. After the surgery, you'll be encouraged to move about as soon as possible, but it might be several weeks before you're able to resume normal activities.
Laparoscopy In this minimally invasive procedure, which requires general anesthesia, the surgeon operates through several small incisions in your abdomen. Gas is used to inflate your abdomen to make the internal organs easier to see.
A small tube equipped with a tiny camera laparoscope is inserted into one incision. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair the hernia using synthetic mesh.
People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities. However, some studies indicate that hernia recurrence is more likely with laparoscopic repair than with open surgery.
Laparoscopy allows the surgeon to avoid scar tissue from an earlier hernia repair, so it might be a good choice for people whose hernias recur after traditional hernia surgery.
It also might be a good choice for people with hernias on both sides of the body bilateral. Some studies indicate that a laparoscopic repair can increase the risk of complications and of recurrence.
Having the procedure performed by a surgeon with extensive experience in laparoscopic hernia repairs can reduce the risks. Request an Appointment at Mayo Clinic Clinical trials Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.
Preparing for your appointment You'll likely start by seeing your primary care provider. Here's some information to help you get ready for your appointment.
What you can do Make a list of: Your symptoms, including when they started and how they may have changed or worsened over time Key personal information, including recent life changes and family medical history All medications, vitamins or supplements you take, including doses Questions to ask your doctor Take a family member or friend along, if possible, to help you remember the information you get.
For an inguinal hernia, some basic questions to ask your doctor include:An inguinal hernia repair is a routine operation with very few risks. But a small number of hernias can come back at some point after surgery.
Other potential complications of an inguinal hernia repair . While open hernia repair may be done under general, regional (spinal), or even local anesthesia with sedation, laparoscopic hernia repair is always done under general anesthesia. If the idea of general anesthesia makes you nervous, it shouldn’t.
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own, however not all require immediate repair.
About Your Inguinal Hernia and Laparoscopic Repair: Approximately , inguinal or groin hernia repair operations are performed annually in the United States.
|Why the Procedure is Performed||Chronic obstructive pulmonary disease COPD Ascites Ventriculoperitoneal shunt Indirect Inguinal Hernias Indirect inguinal hernias are congenital hernias and are much more common in males than females because of the way males develop in the womb. In a male fetus, the spermatic cord and both testicles-starting from an intra-abdominal location-normally descend through the inguinal canal into the scrotum, the sac that holds the testicles.|
|Inguinal Hernia Repair Surgery | Children’s Hospital Pittsburgh||That means traditional techniques have been perfected while new options and materials have been developed.|
Some are performed by the conventional “open” method. Some hernia repairs are performed using a small telescope known as a laparoscope. During inguinal hernia repair, your surgeon pushes the bulging tissues back into the abdomen while stitching and reinforcing the portion of the abdominal wall containing the defect.
This procedure is also known as inguinal herniorrhaphy and open hernia repair. Most of the time, surgery is the only cure for a hernia.
But there are cases where you don’t need to go under the knife. This article explains what you need to know.