Inguinal Hernia

An inguinal hernia can cause discomfort, and may even result in serious complications, if left untreated. Inguinal hernia refers to the protrusion of abdominal tissue from weakened abdominal muscles at the groin area. This can cause a bulge, which is painful in some cases.

The two common types of surgeries for inguinal hernia treatment are – the open repair surgery and laparoscopic repair surgery.

Open Repair of Inguinal Hernia

The open repair of inguinal hernia surgery also includes three types of surgeries. Depending on the situation or type of hernia, surgeons will decide which of the open repair surgeries are more suitable for the patient.

  • Herniotomy
  • Herniotomy involves the removal of the hernia sac, without repair of the inguinal canal. Your surgeon may firstly tie the protruding part, and then push it back into the abdomen, and may remove the entire hernia sac so as to prevent recurrence of the hernia. Typically, this repair is done for children.
  • Herniorrhaphy
  • This surgery involves herniotomy (removal of the hernia sac) and strengthening of the posterior abdominal wall. Your surgeon will reduce the protruding part back into your abdomen, and then sew the lower muscles of the abdomen where the hernia has developed.
  • Hernioplasty
  • The third type of open repair of inguinal hernia is hernioplasty, which involves herniotomy (removal of the hernia sac) and strengthening of the posterior abdominal wall with a mesh. In addition to pushing back your hernia to your abdomen, your surgeon will put on a mesh (patch) which prevents the recurrence of hernias. The mesh helps to reduce the load on the weakened parts of the belly.

Laparoscopic Repair of Inguinal Hernia

The laparoscopic repair surgery is the second treatment option for managing inguinal hernia; but it differs from the open repair surgery, as it involves a different technique.

How Is Laparoscopic Repair of Inguinal Hernia Performed?

In this procedure, a surgeon repairs the herniated region by making small incisions, through which a thin tube, tiny camera, and a mesh can be inserted. Then, internally the mesh is placed and fixed below the part that was herniated; without the need to make a large cut in your belly.

Indications of Laparoscopic Repair of Inguinal Hernia

In experienced hands, the results of laparoscopic repair are similar to the results of open repair, with similar recurrence rates reported. However, the laparoscopic repair surgery is generally preferred in patients with a previous history of open repair surgery of the inguinal hernia as it avoids going through scarred tissues from previous surgery.

Inguinal hernia is a common condition, which needs surgical attention. Laparoscopic repair is suitable in the majority of cases, and allows quick patient recovery