Hernia Repair
A hernia is a bulge where tissue pushes through a weak spot in the abdominal wall. Dr Lourensz repairs groin (inguinal or femoral), belly button (umbilical), incisional and other abdominal wall hernias, as well as hiatus hernias (see Reflux and Hiatus Hernia).
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Common Types
- Inguinal and femoral (groin): a lump in the groin, often worse when standing or straining.
- Umbilical and epigastric: a lump at or above the belly button.
- Incisional: a bulge through the scar of a previous operation.
Does It Need Fixing?
Not every hernia needs an operation straight away. A small umbilical hernia that isn't causing trouble can sometimes be watched. Repair is usually recommended if it is painful, getting bigger, or getting in the way of work or exercise. Dr Lourensz will talk through your options with you.
The Operation
Most hernias are repaired by keyhole (laparoscopic) surgery or through a small open incision, usually with a mesh to strengthen the area. Many people go home the same day, although larger incisional hernias may need a longer operation and hospital stay.
Recovery
Most people return to light activity within one to two weeks. Dr Lourensz will give you advice on lifting, exercise, driving and returning to work based on your type of repair.
Risks
Risks include bruising, a fluid collection under the wound, infection, ongoing pain and the hernia coming back. Dr Lourensz will go through what is likely in your case.
When to Get Help Urgently
A hernia that becomes painful, hard or red, or can't be pushed back in, especially with vomiting, may be strangulated and needs urgent review. Please go to your nearest emergency department.
Reviewed by Dr Kaleb Lourensz