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An inguinal hernia is a type of Hernia that affects the groin or scrotum. Usually an inguinal hernia occurs when tissue pushes through a weak abdominal muscle wall. This can occur in childhood or adulthood. Symptoms include pain, a heavy feeling in the hernia area, and more. Hernia Surgery is the main treatment.
- Inguinal Hernia Surgery
Surgery has generally been recommended for all inguinal hernias to avoid complications such as strangulation, in which a loop of intestine becomes tightly trapped in a hernia, cutting off the blood supply to that part of the intestine. If a hernia in an adult can be pushed back (reduced), surgery can be done at the person`s convenience. If it cannot be pushed back, surgery must be done sooner.
- Surgery in children
In most cases, a child with an inguinal hernia will need surgery to correct it. Infants 6 months of age and younger who have inguinal hernias have a much higher risk of strangulation than older children and adults. So surgery for inguinal hernias in infants is not delayed like it can be for adults.
Synthetic patches are not needed to repair an inguinal hernia in an infant.
- Surgery choices
Two types of surgery are done to repair inguinal hernias:
- Open inguinal hernia repair (herniorrhaphy, hernioplasty)
- Laparoscopic inguinal hernia repair
- Laparoscopic Inguinal Hernia Repair
Laparoscopic hernia repair is similar to other laparoscopic procedures. General anesthesia is given, and a small cut (incision) is made in or just below the navel. The abdomen is inflated with air so that the surgeon can see the abdominal (belly) organs.
A thin, lighted scope called a laparoscope is inserted through the incision. The instruments to repair the hernia are inserted through other small incisions in the lower abdomen. Mesh is then placed over the defect to reinforce the belly wall.
- What To Expect After Hernia Surgery
Most people who have laparoscopic hernia repair surgery are able to go home the same day. Recovery time is about 3-4 days. You most likely can return to light activity after 1 to 2 weeks. Strenuous exercise should wait until after 4 weeks of recovery.
- Open Inguinal Hernia Repair (Herniorrhaphy, Hernioplasty)
For open hernia repair surgery, a single long incision is made in the groin. If the hernia is bulging out of the abdominal wall (a direct hernia), the bulge is pushed back into place. If the hernia is going down theinguinal canal(indirect), the hernia sac is either pushed back or tied off and removed. The weak spot in the muscle wall where the hernia bulges through is repaired with a mesh
- What To Expect After Surgery
Most people who have open hernia repair surgery are able to go home the same day. Recovery time is about 2 weeks.