Hernia repair, inguinal (open)

  • If you have an inguinal hernia, a surgery can fix it.

    What is an inguinal hernia?

    An impacted lower wisdom tooth

    Your abdominal cavity contains your intestines and other structures. These are protected by your abdominal wall, which is made up of four layers. Weak spots can develop in the layer of muscle, resulting in the contents of your abdomen, along with the inner layer, pushing through your abdominal wall. This produces a lump called a hernia. Furthermore, an inguinal hernia happens at the inguinal canal. This is a narrow passage in which nerves and a ligament pass through your abdominal wall.

    What are the benefits of surgery?

    You should no longer have the hernia. Surgery should prevent the serious complications that a hernia can cause and allow you to return to normal activities.

    Are there any alternatives to surgery?

    Inguinal hernias can be repaired using keyhole surgery and this may be appropriate for you. You can sometimes control the hernia with a truss (padded support belt) or simply leave it alone. It will not get better without surgery.

    What does the procedure involve?

    Various anaesthetic techniques are possible. The operation usually takes about 45 minutes. Your surgeon will make a cut on your groin and remove the 'hernial sac'. They will strengthen the muscle layer with stitches, usually inserting a synthetic mesh to cover the weak spot, and then close your skin.

    What complications can happen?

    Like all surgical procedures, there are some complications that can be serious and can even cause death. Please bear in mind the general and specific complications regarding this type of operation.

    General complications of any operation

    • Pain
    • Bleeding
    • Unsightly scarring of your skin
    • Blood clot in your leg
    • Blood clot in your lung
    • Infection of the surgical site (wound)

    Specific complications of this operation

    • Developing a collection of blood (haematoma) or fluid (seroma) under your wound
    • Injury to structures that come from your abdomen and are within the hernia
    • Temporary weakness of your leg
    • Continued discomfort or pain in your groin

    How soon will I recover?

    You should be able to go home the same day. You will need to increase how much you walk around over the first few days. You should be able to return to work after 2 to 4 weeks. This will depend on how much surgery you need and your type of work.

    With regular exercise, it should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice. Most women make a full recovery and can return to normal activities. However, there is a possibility that the hernia can come back many years later and you may need another operation.

    Summary

    An inguinal hernia is a common condition caused by a weakness in your abdominal wall, near the inguinal canal. If left untreated, an inguinal hernia can cause serious complications. To find out more, call us on 0808 101 0337. 

     

    Acknowledgements

    Author: Mr Simon Parsons DM FRCS (Gen. Surg.)

    Illustrator: Medical Illustration Copyright © Medical-Artist.com

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