(Herniorrhaphy; Repair, Hernia)
by Krisha McCoy, MS
Click here to view an animated version of this procedure.
A weak area of belly wall can let tissue poke out of the belly. This is called a hernia. A hernia repair is a surgery to push the tissue back where it belongs. The wall of the belly will also be fixed.
Reasons for Procedure
Large hernias and those that cause pain will need repair. The hernia will not heal without surgery. The pain and size of the hernia can increase over time.
Tissue that pokes through the hole can become trapped. If the blood flow is cut off to the tissue it is called a strangulated hernias. This is an emergency. Immediate surgery will be needed.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase the risk of complications include:
What to Expect
Prior to Procedure
The doctor will review tests that have been done. Your overall health will be checked. You may need a physical exam if it has been a long time since your last exam.
Talk to your doctor about any medicine or supplement that you take. Some may need to be stopped up to 1 week before the procedure.
Your doctor may recommend that you:
There are different types of hernia repair. They may use different types of anesthesia. Options include one of the following:
Description of Procedure
There are two main types of surgeries:
You and your doctor will talk about your options. Laparoscopic tends to have a faster recovery. However, it is not appropriate for everyone.
Conventional Hernia Repair
An cut is made over the site. The tissue will be moved back into place. The belly wall will be repaired. Steps may include:
The cut will be closed with stitches or staples.
Laparoscopic Hernia Repair
Small cuts will be made around the site. A tube will be passed through a cut. It will push gas into the belly. This will make it easier for the surgeon to work. A camera will allow them to see inside the belly. Other tools will be passed through the cuts. They will be used to repair the area. Tissue will be pushed back into place. The belly wall will be closed.
The cuts will be closed with stitches or staples. A dressing will be placed over the cuts.
Immediately After Procedure
A care team will watch over your vital signs until you wake. Fluids and pain medicine will be given through an IV.
How Long Will It Take?
Less than 2 hours
Will It Hurt?
Anesthesia will prevent pain during surgery. You will be sore for at least 24 to 48 hours after surgery. Medicine will help to manage pain.
You will be encouraged to walk the day after surgery. It may take about a week to return to normal activity after laparoscopic surgery. Open surgery may take a bit longer.
Some activity will need to be avoided during recovery. This includes straining and heavy lifting.
Call Your Doctor
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
American Hernia Society
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Association of Gastroenterology
Groin hernia in adults and adolescents. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated March 14, 2018. Accessed March 26, 2018.
Inguinal repair surgery information. Society of American Gastrointestinal and Endoscopic Surgeons website. Available at: https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-inguinal-hernia-repair-from-sages/. Updated March 2015. Accessed January 7, 2019.
Laparoscopic surgery for hernia repair. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/treatments/6905-laparoscopic-surgery-for-hernia-repair. Updated March 1, 2017. Accessed March 26, 2018.
Last reviewed March 2018 by EBSCO Medical Review Board Marcin Chwistek, MD
Last Updated: 1/7/2019
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