Hernia Repair

A hernia is a bulge that forms when part of the intestine or fatty tissue pushes through a weak spot in the muscle wall of the abdomen. Common types are inguinal (groin), umbilical (around the navel) and incisional (through an old surgical scar).

Hernias do not heal on their own and tend to grow over time. Surgery closes the weak area, usually reinforced with a mesh. Many hernias can be repaired laparoscopically, through small cuts.

• A bulge in the groin, navel or near a scar that increases on coughing or standing
• Pain or heaviness in the area, especially when lifting
• A hernia that is getting larger
• Emergency: a painful, hard bulge that cannot be pushed back, with vomiting; this may be a strangulated hernia and needs urgent care

• Relieves pain and discomfort
• Prevents serious complications such as obstruction or strangulation
• Mesh repair lowers the chance of the hernia coming back
• Keyhole repair allows a quicker return to activity

Before the procedure

The surgeon examines you and may order an ultrasound. Blood tests and an anaesthesia check-up are done.

During the procedure

Depending on the hernia and your health, the repair is done by open or laparoscopic surgery under general or spinal anaesthesia. The bulging tissue is returned to its place and the weak area is closed and strengthened with mesh.

After the procedure

Most patients go home the same day or the next day and are encouraged to walk early.

Light activities are usually possible within a week. Heavy lifting and strenuous work should be avoided for four to six weeks or as your surgeon advises.

• Support the wound with your hand or a pillow when you cough
• Avoid constipation by drinking enough water and eating fibre-rich food
• Increase activity gradually