Inguinal hernia repair
Inguinal hernia repair is surgery to repair a hernia in your groin. A hernia is tissue that bulges out of a weak spot in the abdominal wall. Your intestine may bulge out through this weakened area.
Herniorrhaphy; Hernioplasty - inguinal
During surgery to repair the hernia, the bulging tissue is pushed back in. Your abdominal wall is strengthened and supported with sutures (stitches), and sometimes mesh. This repair can be done with open or laparoscopic surgery. You and your surgeon can discuss which type of surgery is right for you.
Your surgeon will decide which kind of anesthesia you will receive:
In open surgery:
In laparoscopic surgery:
Why the Procedure Is Performed
Your doctor may suggest hernia surgery if you have pain or your hernia bothers you during your everyday activities. If the hernia is not causing you problems, you may not need surgery. However, these hernias most often do not go away on their own, and they may get larger.
Sometimes the intestine can be trapped inside the hernia. This is called an incarcerated or strangulated hernia. It can cut off blood supply to the intestines. This can be life-threatening. If this happens, you would need emergency surgery.
Risks for anesthesia and surgery in general are:
Risks for this surgery are:
Before the Procedure
Tell your surgeon or nurse if:
During the week before your surgery:
On the day of surgery:
After the Procedure
Most people are able to get out of bed an hour or so after this surgery. Most can go home the same day, but some may need to stay in the hospital overnight.
Some men may have problems passing urine after hernia surgery. If you have problems urinating, you may need a catheter. This is a thin flexible tube that is inserted into your bladder for a short time to drain urine.
Following instructions about how active you can be while recovering. This may include:
Follow any other self-care instructions to help speed your recovery.
Outcome of this surgery is usually very good. In some people, the hernia returns.
Kuwada T, Stefanidis D. The management of inguinal hernia. In: Cameron JL, Cameron AM, eds. Current Surgical Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017:623-627.
Malangoni MA, Rosen MJ. Hernias. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 44.
Review Date: 2/11/2017
Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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