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A hernia forms when your abdominal wall weakens, bulges, or tears. The inner lining of the abdomen and small intestine can poke out of this weakened area. A hernia repair is a surgery to push the abdominal material back where it belongs and to repair the abdominal wall.
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A hernia repair is done if the hernia is large and causing pain. Some hernias, called strangulated hernia, can cut off blood supply. Strangulated hernias require immediate hernia repair surgery.
Without surgery, the hernia will not heal. The pain and size of the hernia usually increases over time.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a hernia repair, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Your doctor may do the following:
On the days before and the day of your procedure, your doctor may recommend that you:
Depending on the type of repair, you may receive:
There are two main types of surgeries. A conventional surgery or laparoscopic surgery. Conventional surgery uses a large incision so that the doctor can directly access the area. Laparoscopic surgery uses smaller incisions and special surgical tools. You and your doctor will discuss the risks and benefits of each surgery to determine which may be best for you. Factors like your overall health, location of hernia, and complications will play a role in the decision.
An incision is made over the hernia site. The hernia will be moved back into the abdominal cavity, or the sac may be removed. In the case of hiatal hernia, the stomach is moved from the chest cavity back down to the abdominal cavity.
For some, the weakened muscles that allowed the hernia to develop are sewn together. If the weakened area is large or in the groin, a piece of mesh will be placed over the area to create a new wall. If mesh is used, the muscle is not sewn together. The incision will be closed with stitches or staples.
Small incisions will be made around the hernia. Special surgical tools will be placed through these incisions. A small camera will be passed through an incision so that the doctor can see inside the abdomen. Other small instruments will be used to complete the repair.
After the procedure, the incisions will be closed with stitches or staples. A sterile dressing will be applied.
You will be taken to a recovery area. Fluids and pain medicines will be delivered through an IV. If there are no problems, you will be moved to a hospital room to recover.
Less than two hours
Anesthesia prevents pain during surgery. You may feel pain during recovery, but taking pain medicine will help.
When you return home, do the following to help ensure a smooth recovery:
The recovery time will be shorter for laparoscopic surgery.
There is some risk that the hernia could return. To reduce your risk:
After arriving home, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
National Digestive Diseases Information Clearinghouse
The Canadian Association of Gastroenterology
The causes and surgical treatment of abdominal hernia. American Medical Association website. Available at: http://www.medem.com/medlb/article_detaillb.cfm?article_ID=ZZZESG4TWAC&sub_cat=195. Accessed November 10, 2005.
Hernia. Cleveland Clinic website. Available at: http://www.clevelandclinic.org/health/health-info/docs/3600/3619.asp. Updated June 2008. Accessed June 9, 2008.
Hernia repair. American College of Surgeons website. Available at: http://www.medem.com/medlb/article_detaillb.cfm?article_ID=ZZZBTQW1RWC&sub_cat=195. Accessed November 10, 2005.
Last reviewed March 2014 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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