(Herniorrhaphy; Repair, Hernia)
by Krisha McCoy, MS
Click here to view an animated version of this procedure.
A hernia forms when the abdominal wall weakens, bulges, or tears. The inner lining of the abdomen and small intestine can poke out of this weakened area. A hernia repair is a surgery to push the abdominal material back where it belongs and to repair the abdominal wall.
Reasons for Procedure TOP
A hernia repair is done if the hernia is large and causing pain. Strangulated hernias can cut off blood supply and require immediate hernia repair surgery.
Without surgery, the hernia will not heal. The pain and size of the hernia usually increases over time.
Possible Complications TOP
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase the risk of complications include:
What to Expect TOP
Prior to Procedure
Your doctor may do the following:
On the days before and the day of your procedure, your doctor may recommend that you:
Depending on the type of repair, you may receive:
Description of Procedure TOP
There are 2 main types of surgeries. A conventional surgery or laparoscopic surgery. Conventional surgery uses a large incision so that the doctor can directly access the area. Laparoscopic surgery uses smaller incisions and special surgical tools. You and your doctor will discuss the risks and benefits of each surgery to determine which may be best for you. Factors like your overall health, location of hernia, and complications will play a role in the decision.
Conventional Hernia Repair
An incision is made over the hernia site. The hernia will be moved back into the abdominal cavity, or the sac may be removed. In the case of hiatal hernia, the stomach is moved from the chest cavity back down to the abdominal cavity.
For some, the weakened muscles that allowed the hernia to develop are sewn together. If the weakened area is large or in the groin, a piece of mesh will be placed over the area to create a new wall. If mesh is used, the muscle is not sewn together. The incision will be closed with stitches or staples.
Laparoscopic Hernia Repair
Small incisions will be made around the hernia. Special surgical tools will be placed through these incisions. A small camera will be passed through an incision so that the doctor can see inside the abdomen. Other small instruments will be used to complete the repair.
After the procedure, the incisions will be closed with stitches or staples. A sterile dressing will be applied.
Immediately After Procedure TOP
You will be taken to a recovery area. Fluids and pain medications will be delivered through an IV. If there are no problems, you will be moved to a hospital room to recover.
How Long Will It Take? TOP
Less than 2 hours
Will It Hurt? TOP
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Post-procedure Care TOP
At home, slowly return to to normal activity and diet. Your doctor may advise pain medications. You will have to restrict activities during your recovery. Avoid straining and heavy lifting until your doctor says it is okay to do so. Follow wound care instructions to avoid infection. The recovery time will be shorter for laparoscopic surgery.
There is some risk that the hernia could return. To reduce your risk:
Call Your Doctor TOP
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
American Hernia Society
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Association of Gastroenterology
Groin hernia in adults and adolescents. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated March 14, 2018. Accessed March 26, 2018.
Inguinal hernia. Johns Hopkins Medicine website. Available at: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/digestive_disorders/inguinal_hernia_85,p00387. Accessed March 26, 2018.
Laparoscopic surgery for hernia repair. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/treatments/6905-laparoscopic-surgery-for-hernia-repair. Updated March 1, 2017. Accessed March 26, 2018.
Last reviewed March 2018 by EBSCO Medical Review Board Marcin Chwistek, MD
Last Updated: 5/1/2014
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