Hernia treatment often involves surgery, with three main types: open, laparoscopic (minimally invasive), and robotic repair. The procedure and recovery vary based on the hernia type and surgical complexity.
What Is Hernia Surgery?
A hernia occurs when an organ or tissue pushes through a weak spot in the muscle wall, often in the abdomen or groin. Over time, it can grow, causing discomfort or pain, especially during physical activity, coughing, or standing.
If a hernia becomes painful or interferes with daily life, surgery may be recommended. Even without pain, surgery can help prevent future complications. The procedure involves repositioning the organ or tissue and strengthening the muscle wall. In many cases, mesh may be used for reinforcement, which can be discussed with your doctor.
Common Symptoms of a Hernia
The most common sign of a hernia is a visible lump or bulge, often accompanied by discomfort or pain. This bulge may disappear when lying down but can worsen with standing, straining, or lifting heavy objects. While most hernias are diagnosed through a physical exam, imaging may be needed in some cases.
Hiatal Hernia Symptoms:
Unlike other hernias, hiatal hernias do not cause an external bulge. Instead, they may lead to symptoms like heartburn, acid reflux, and food or liquid regurgitation, which are often managed with medication.
Common Hernia Locations
Hernias can develop in various areas, including:
- The lower chest, pushing through the diaphragm.
- The groin, affecting the lower abdominal wall.
- The midline of the abdomen.
- A previous abdominal surgery incision.
Who Needs Hernia Repair?
Not all hernias require immediate treatment, but most worsen over time. They occur when tissue pushes through a muscle or tissue wall, often causing discomfort, pressure, or pain. Depending on the location, a hernia can affect nearby organs and lead to complications.
For example, in individuals with testicles, a hernia may extend into the scrotum, causing swelling, pain during sex, or other issues.
If a hernia causes symptoms or poses a risk of complications, surgery may be necessary.
Types of Hernia Surgery
Hernia surgery is performed using three main approaches:
- Open Hernia Repair: A surgeon makes a single incision to access the hernia, reposition the tissue, and reinforce the area with stitches. Surgical mesh is often used for added strength
- Laparoscopic Hernia Repair: Also known as keyhole surgery, this technique involves several small incisions. A laparoscope (a thin tube with a camera) provides visuals on a screen, while surgical instruments repair the hernia.
- Robotic Hernia Repair: A form of laparoscopic surgery where robotic instruments assist in the repair. The surgeon controls the robotic system from a console for precise movements.
Risks and Complications of Hernia Surgery
Like any surgery, hernia repair carries some risks. While your care team takes steps to minimize complications, some may occur shortly after surgery, while others can develop over time.
Short-Term Complications:
- Infection at the incision site
- Fluid buildup (seromas)
- Blood accumulation (hematomas)
- Injury to nearby tissues, organs, or blood vessels
- Temporary bladder emptying issues (may require a catheter)
Long-Term Complications:
- Surgical mesh erosion or infection
- Hernia recurrence (though rare)
- Pain during sex, especially in men if nerves or blood vessels are affected
- Chronic pain lasting over three months (post-herniorrhaphy neuralgia), which may require medication or further treatment
While these risks exist, hernia surgery is generally safe, and most complications are manageable with prompt medical attention.
When to Contact Your Healthcare Provider
Reach out to your healthcare provider if you experience any signs of complications after surgery, such as:
- Fever and chills
- Constipation or inability to pass gas
- Pus draining from the incision
- Pain, redness, warmth, or swelling at the incision site
- Blood soaking through your bandage
Seek Emergency Care Immediately If You Notice:
- Possible Blood Clot (DVT): Pain, swelling, warmth, or redness in your leg or groin
- Signs of Sepsis: Fever, chills, rapid heart rate, high blood pressure, sweaty or clammy skin, and shortness of breath
Expert Care with Dr. Ishan Shah
Dr. Ishan Shah, a top hernia doctor in Ahmedabad, specializes in advanced hernia treatments, ensuring precise diagnosis, expert surgical care, and faster recovery. With expertise in laparoscopic and robotic hernia surgery, he offers minimally invasive solutions that reduce pain, scarring, and downtime. His patient-centric approach, state-of-the-art techniques, and focus on long-term relief set him apart.
Whether it’s inguinal, umbilical, or hiatal hernias, he provides personalized care with a commitment to safety and excellence. Get back to an active, pain-free life with expert treatment. Schedule your consultation today and experience trusted surgical care with exceptional results.
