Inguinal hernia repair reduces the protruding contents and reinforces the abdominal wall with mesh. It is performed open, laparoscopically or robotically, with an individualised choice of technique. Recovery is rapid and the recurrence rate is low.
What is the operation?
The operation corrects an inguinal hernia — the protrusion of tissue through a weak point of the abdominal wall in the groin. The contents are reduced and the wall is reinforced, in the vast majority with a tension-free synthetic mesh.
When is it needed?
It is recommended for a symptomatic hernia (pain, bulge) and, as a rule, for enlarging hernias. It becomes urgent with strangulation (an irreducible, painful hernia) — a condition that threatens the bowel. Small, asymptomatic hernias may be watched.
Preparation
A clinical assessment of the hernia, a pre-operative work-up and a choice of technique/anaesthesia are made according to the hernia and the patient. Fasting and medication adjustment are requested.
How it's done
The hernia contents are reduced and the weak wall is reinforced with a tension-free mesh. In the open technique a small groin incision is used; in the laparoscopic/robotic approaches (TEP/TAPP) the repair is done from within, through small incisions.
Open (Lichtenstein)
A small groin incision and a tension-free mesh — a reliable, well-proven technique.
Laparoscopic (TEP/TAPP)
Repair through small incisions, with less post-operative pain and faster return — ideal for bilateral/recurrent hernias.
Robotic
A robotically assisted approach with added precision in selected, complex cases.
Recovery
Most patients go home the same day or the next. Return to light activity takes a few days, while strenuous exercise and lifting return gradually over 2–4 weeks.
Risks & outcomes
An operation with very good long-term results and a low recurrence rate. Possible, usually mild, complications: haematoma, swelling, infection, transient altered sensation, or chronic pain in a small proportion.
Frequently asked questions
Is mesh always needed?
In the vast majority of adults, yes: tension-free mesh significantly reduces the risk of recurrence. The material and technique are individualised.
Open or laparoscopic?
Both are valid. The laparoscopic/robotic approach often has advantages for bilateral or recurrent hernias and for faster return; the choice is made together with the patient.
When can I return to exercise and lifting?
Light activity returns within a few days. Lifting and strenuous exercise usually within 2–4 weeks, with individualised guidance.
Can it recur?
With modern techniques the recurrence rate is low. Correct technique and a gradual return to activity minimise it.