Surgery has generally been recommended for all inguinal hernias to avoid complications such as strangulation, in which a loop of intestine becomes tightly trapped in a hernia, cutting off the blood supply to that part of the intestine. But surgery may not be needed if the hernia is small and you do not have symptoms. Consult with your doctor to decide if you need hernia repair surgery.
If a hernia in an adult can be pushed back (reduced), surgery can be done at the person's convenience. If it cannot be pushed back, surgery must be done sooner.
- During surgery, the hernia sac is removed and occasionally a couple of stitches are used to close the opening of the inguinal canal nearest the abdominal cavity (internal ring).
- Most hernia repairs are done as outpatient surgery. Anesthesia can be local, spinal, or general.
- The use of synthetic patches or mesh for hernia repair is becoming standard for adult surgery. The mesh or patch is used to strengthen the abdominal wall and prevent hernias from recurring. Previously, these were used mostly for hernias that were large or hard to repair.
Laparoscopic Hernia Surgery
Laparoscopic hernia surgery may have some advantages over open surgery in certain situations. Studies show that people have less pain after this type of surgery and return to work and other activities more quickly than after open repair. But laparoscopic surgery is more expensive than open repair. And laparoscopic surgery has a higher risk for serious complications. Recurrence rates are also higher with laparoscopic repair.
Hernia Inguinal Hernia Surgery
The risk of a hernia coming back after surgery varies depending on a surgeon's experience, the type of hernia, the method of surgery, and the person's age and overall health.
- Recurrence rates after hernia repair are lower when experienced surgeons perform the procedure, especially for laparoscopic techniques.
- The chance of a hernia coming back after open surgery ranges from 1 to 10 out of every 100 open surgeries done.
- Up to 10% of hernias repaired with laparoscopic surgery may recur. Some studies have found recurrence rates as low as 0.25% to 2% for laparoscopic surgery.
Using mesh to repair the weak muscle in the stomach wall makes it up to half as likely that the hernia will come back.
Please contact the Texas Center for Obesity and General Surgery (214-501-1333) to schedule an appointment.