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Inguinal hernia repair Health Article

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Definition

Inguinal hernia repair is surgery to repair a hernia in the abdominal wall of your groin. A hernia is tissue that bulges out of a weak spot in the abdominal wall. Your intestines may bulge out through this weakened area.

During hernia repair, this bulging tissue is pushed back in. Your abdominal wall is strengthened and supported with sutures (stitches), and sometimes mesh.

Alternative Names

Herniorrhaphy; Hernioplasty

Description

You will probably receive general anesthesia (asleep and pain-free) for this surgery. If your hernia is small, you may receive local anesthesia and medicine to relax you. You will be awake but pain-free.

In open surgery, your surgeon will make an incision (cut) near your hernia.

  • Your surgeon will find the hernia and separate it from the tissues around it. Then your surgeon will remove the hernia or push it back inside your abdomen.
  • Your surgeon will close your weakened abdominal muscles with stitches. Often a piece of mesh is also sewn into place to strengthen your abdominal wall. This repairs the weakness in the wall of your abdomen.

Your surgeon may use a laparoscope instead of doing open surgery.

  • A laparoscope is a thin tube with a tiny camera on the end that allows your surgeon to see inside this area. Your surgeon will make 3 or 4 small incisions in your lower belly and insert the laparoscope and other small instruments through them.
  • The same repair will be done as the repair in open surgery.
  • The benefits of this surgery are a faster healing time and less scarring. Laparoscopic surgery may not be recommended for larger or more complicated hernias.
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Review Info

Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., 01/30/2009

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