Hernia Surgery
A hernia is a bulge or swelling that happens as an inner body part pokes through a weak area of
muscle or tissue wall.
What is a hernia?
A hernia means something coming through. It most frequently occurs when an organ or internal tissue
pokes through a hole or weakness in your abdominal muscle wall.
In many cases, people have no or very few hernia symptoms. You may notice a swelling or lump in your
stomach area or groin. Often you have no hernia pain.
If your hernia causes sudden pain and especially if it can’t be pushed back in, you should seek
urgent medical care. It may mean that your hernia is trapped or tightly pinched where it pokes
through the muscle wall (obstruction) and in extreme cases it may cut off the blood supply to your
intestines and tissues in your abdomen (strangulation).
A hernia is not usually a serious condition but it will not go away without hernia treatment known as
a hernia repair.
What does the hernia surgery involve?
Hernia repair surgery is the world’s most common surgical procedure. Hernia surgery can help to
relieve pain, return the hernia abdominal organs to their correct place and, strengthen the weak
muscle area.
A hernia operation usually takes around an hour as a day case procedure. It can be performed by:
- Open surgery – under local or general anaesthetic, an incision usually around 2.5 to 3
inches is made to your skin near your hernia and your surgeon will push your hernia back into
your abdomen. The incision is then either stitched closed or much more commonly a mesh is placed
over the hole and fixed using fine stitches. The mesh acts like a scaffold and your own tissue
will grow through the mesh to reinforce the weakened area without putting tension on the
surrounding tissues.
- Keyhole (laparoscopic) surgery – under general anaesthetic, several smaller incisions are
made to allow your surgeon to use a less invasive technique using various special instruments
including a tiny telescopic camera to repair your hernia. A mesh may then be used to strengthen
your abdominal wall.
If hernia surgery is recommended, your surgeon will advise on the most appropriate type of surgery
based on the location and severity of your hernia.
Are there different types of hernia?
Most hernias are found in the abdomen. Areas of weakness in the abdominal wall where hernias are
commonly found include the groin, upper stomach, belly button and, where you have a surgical scar.
The most frequently seen types of hernia include:
- Inguinal hernias – the most common hernia, seen more in men, causes a bulge in your groin. The
inguinal hernia appears through your inguinal canal, a narrow passage that blood vessels pass
through in your abdominal wall and, may reach your scrotum.
- Femoral hernias – also a bulge in your groin, relatively uncommon and seen more in women. The
femoral hernia happens at the hole in your abdominal wall where the femoral artery and vein pass
from the abdomen into your leg.
- Hiatus hernias - occur in your upper chest area when part of your stomach pushes up into your
chest by squeezing through a gap in your diaphragm called the hiatus.
- Umbilical/periumbilical hernias – occur at the umbilicus, a natural weakness in your abdominal
wall, when fatty tissue or a part of your bowel pokes through your abdomen near your naval.
- Incisional hernia – occurs through a scar from past abdominal surgery as tissue pokes through
the weak healed site in your abdominal wall.
What complication can happen after the hernia surgery?
Hernia surgery is a routine procedure, but as with all surgeries there are risks of complications.
These may vary depending upon the exact hernia operation you have and your health. Your surgeon will
discuss these with you in detail.
Often the greatest complication risk is a reoccurrence of the hernia. Other hernia surgery side
effects include: build-up of seroma or a fluid-filled sac under the surface of the skin, inability
or difficulty urinating, organ or tissue damage, wound infection and, rejection of the mesh.
What is the cost of the hernia surgery?
If you decide to pay for your treatment, we offer an all-inclusive Total Care package, where a single
one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for
complete reassurance. You can also spread the cost of your treatment with finance options available.
A hernia surgery may be covered by your medical insurance policy. We advise you to check directly
with your insurance provider and get written confirmation before commencing treatment.
How soon will I recover after the hernia surgery?
Recovery time after hernia surgery is usually two to three weeks. Most patients will return to normal
daily activities and go back to work within a week. You should not do any heavy lifting for at least
six weeks. Your surgeon will talk to you about what you can and cannot do for your specific hernia
operation.
You’ll have sixty days of post discharge outpatient care commencing the day you leave a we including
a follow up with your surgeon to check on your hernia as part of your aftercare package.