Open Hernia Repair (Herniorrhaphy)
Procedure:
- A groin incision is made.
- Protruding tissue is pushed back into the abdomen.
- The weakened abdominal wall is strengthened, often using synthetic mesh.
- The incision is closed with sutures, staples, or surgical glue.
Recovery:
- Patients typically go home the same day.
- Recovery time is usually 4 to 6 weeks, with avoidance of strenuous activities.
Laparoscopic Hernia Repair
Procedure:
- Several small abdominal incisions are made.
- A laparoscope and surgical instruments are inserted.
- The hernia is repaired using synthetic mesh, similar to open repair.
- Incisions are closed with sutures or surgical glue.
Recovery:
- Less postoperative pain and faster recovery compared to open surgery.
- Many resume normal activities within 1 to 2 weeks; full recovery may take 3 to 4 weeks.
Preoperative Preparation
Medical Evaluation:
- Thorough examination ensures suitability for surgery.
Instructions:
- Patients may need to discontinue certain medications, fast before surgery, and arrange transportation home.
Postoperative Care
Pain Management:
- Over-the-counter or prescribed medications manage pain.
Wound Care:
- Instructions on caring for the surgical site and identifying infection signs.
Activity Restrictions:
- Avoid heavy lifting and strenuous activities until fully healed.
Risks and Complications
- Infection: Risk at the surgical site.
- Recurrence: Possible without proper postoperative care.
- Chronic Pain: Some may experience long-term groin discomfort.
- Damage: Slight risk to nearby structures.
Choosing the Right Surgery
Decision factors include overall health, hernia size/type, and surgeon expertise. Both methods are highly successful; laparoscopic surgery often offers faster recovery and less pain.
For specific questions or concerns about inguinal hernia surgery, consult with your healthcare provider or specialist surgeon.