Hernia Repair

Laparoscopic (TAPP or TEP) repair uses small ports and a camera. It is the common choice for a groin hernia, with smaller scars and less pain afterwards.

Because both sides can be repaired through the same small cuts, the opposite side is often checked and reinforced at the same time.

A single incision above the lump, with the mesh placed directly over the weak point. It is still widely used and is often preferred for a large or emergency hernia.

It may be the better option if you have had previous abdominal operations, or if the scar tissue makes keyhole access difficult.

A hernia that has twisted and lost its blood supply is an emergency. Surgery is needed straight away, and the twisted bowel is assessed to see whether it can be saved. This is why a hernia that traps should never be left until the next routine appointment.

Do all hernias need an operation?

A small, comfortable groin hernia is sometimes watched for a while. But a hernia never repairs itself, and any that traps or twists needs surgery, so it is worth discussing the options early rather than later.

What is mesh, and is it safe?

Mesh is a soft permanent screen stitched over the weak point, and tissue grows through it. It is the standard repair because it spreads the pressure and makes the area stronger than stitching muscle on its own. It is not felt by most people.

Keyhole or open — which will I have?

Keyhole repair is usual for a groin hernia. An open repair is often chosen for a large hernia, for one that has trapped, or if you have had previous operations in the same area. Your surgeon will recommend one or the other based on your hernia.

How long before I can lift things?

Around six weeks. Lifting too much too early is one of the main reasons a repair fails, so it is worth planning your work and your help at home around that.

Can it come back after a repair?

Repairs are very durable and most people never have a problem again. The risk is higher if you lift heavy loads too soon, or if a long-standing cough, constipation or urinary problem is left untreated.

Why does it matter more in men?

Groin hernias are far more common in men. A new groin lump in a man should be checked, because the alternative causes — and the testicle itself — need ruling out properly.