Inguinal hernia: when is surgery necessary?
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Not every hernia needs immediate treatment. The warning signs, and how the timing and type of surgery are chosen.
What is an inguinal hernia?
It is a bulge in the groin caused by weakness in the abdominal wall. It often becomes more visible with standing or coughing and reduces when lying down.
When is surgery necessary?
- Recurrent pain affecting daily activity or work
- Progressive enlargement over time
- A hernia that no longer reduces easily
- Complications such as incarceration or strangulation (an emergency)
Danger signs: go to the emergency department
- Sudden severe pain with a fixed bulge that does not reduce when lying down
- Vomiting or inability to pass stool and gas
- Marked redness or warmth over the hernia
Are there different surgical options?
Yes: open repair and laparoscopic repair. The best option depends on hernia size, whether it is on both sides, prior abdominal surgery and overall health. A mesh is commonly used to reinforce the wall and reduce recurrence.
Recovery
- Early walking is helpful; heavy lifting is avoided for a period set by the surgeon
- Return to work depends on the type of job and the operation performed
- Managing constipation and chronic cough reduces pressure on the repair
Hernias do not heal with medications, but timing of surgery depends on symptoms and risk factors.
This article is for general awareness and is not a diagnosis or a treatment plan for any specific case. To have your case assessed, please book a clinic appointment.
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