Understanding Hernias: When to Act
A hernia occurs when an internal organ or tissue pushes through a weakness in the surrounding muscle or connective tissue. They're extremely common - affecting approximately 5% of the population - and the only definitive treatment is surgical repair.
Types of Hernias We Treat
| Type | Location | Common In | Urgency |
|---|---|---|---|
| Inguinal | Groin area | Men (90% of cases) | Elective, unless incarcerated |
| Umbilical | Around navel | Women, post-pregnancy | Elective |
| Incisional | Previous surgical scar | Post-surgery patients | Depends on size |
| Hiatal | Upper stomach/diaphragm | Adults 50+ | Usually managed medically |
| Epigastric | Upper midline abdomen | Adults | Elective |
When Does a Hernia Need Surgery?
Surgery recommended:
- Hernia is growing larger
- Causing pain or discomfort
- Affecting daily activities or exercise
- Risk of incarceration (getting stuck)
- Cosmetic concern
Emergency surgery required:
- Severe sudden pain at hernia site
- Hernia cannot be pushed back in (incarcerated)
- Nausea, vomiting, fever (possible strangulation)
- Skin over hernia becomes red or dark
Laparoscopic vs Open Repair
Laparoscopic (keyhole) repair - our preferred approach:
- 3 small incisions (5-10mm each)
- Camera-guided precision
- Mesh reinforcement placed behind the muscle
- Less post-operative pain
- Faster return to work (1-2 weeks vs 4-6 weeks)
- Lower infection risk
- Better cosmetic result