Hernia Surgery

The information below is general in nature and should be read as a guide only. It is not definitive medical advice. Dr. Anderson will discuss patient specific requirements based on their medical history and diagnosis during a consultation.

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What is a Hernia?

Hernias occur when internal tissue pushes through a weakness in the abdominal wall, creating a visible or uncomfortable bulge. They are common in both men and women and can develop gradually over time or suddenly after straining, heavy lifting, persistent coughing, or previous surgery. While some hernias cause only mild discomfort, others can lead to significant pain or the risk of bowel becoming trapped, which requires urgent medical attention. Hernias do not heal on their own, and surgery is often the only effective long‑term treatment. 

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The most frequent types include, inguinal hernias (in the groin), femoral hernias (just below the groin and more common in women), umbilical hernias (around the belly button), and incisional hernias (occurring through a previous surgical scar). Symptoms may include a lump that becomes more noticeable when standing or straining, discomfort during activity, or a dragging sensation in the groin or abdomen. Some patients experience severe pain if the hernia becomes trapped. 

 

Laparoscopic vs. Open Hernia Repair

Surgical repair is recommended when a hernia is painful, enlarging, or at risk of complications. This can be done laparoscopically (keyhole) or open, depending on the patient’s anatomy, hernia type, and overall health. 

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Laparoscopic repair uses several small incisions and a camera to repair the hernia from the inside, usually with mesh reinforcement. This technique often results in less postoperative pain, smaller scars, and a quicker return to normal activities. 

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Open repair achieves a similar result to the minimally invasive approach by repairing the hernia and reinforcing that repair with a piece of mesh. However, it is performed through a single incision directly over the hernia and is sometimes the preferred option for very large hernias, recurrent hernias, or when keyhole surgery is not suitable.  Both methods are safe and effective, with excellent long‑term outcomes. 

 

Preparing for Surgery

Ahead of surgery, (and always) it is recommended that patients follow a healthy diet and exercise regularly.  Smoking and vaping cause many health problems and can also delay recovery. 

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It is important to discuss any medication you are taking with us ahead of surgery, as this may need changing ahead of the operation.

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The week prior to surgery, you will receive a phone call from Allevia Kensington Hospital letting you know what time you will need to be at there.  They will also give you instructions about fasting ahead of your operation.

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How long you spend in hospital will depend on a number of factors and will be discussed with you at your consultation.  All patients will need to arrange for a driver to take them home after they have been in hospital.

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On the day of the operation, Dr. Anderson will meet you and consent you for surgery.  He will explain the procedure to you and answer any questions you have.  It is important that all patients understand what is involved.

 

Risks of Surgery

Serious complications from hernia repairs are uncommon.  For most people, the procedure is considered safe and effective. However, with all surgeries there is a risk of infection, bleeding and allergic reactions to the anaesthetic or medications. Specific to hernia surgery, there is a small risk of damage to neighbouring organs, blood clots and recurrence of the hernia. You will experience some degree of bruising and swelling at the hernia site after the repair. This is usually mild and quick to settle. For men having a groin hernia repair, there is a small risk of swelling to the testicle due to reduced blood flow as the artery to the testicle can be scarred to the hernia itself. Around 1 % of patients develop chronic pain after groin hernia surgery. The risks to you will depend on your individual circumstances and will be discussed with you.

 

After Surgery

Dr. Anderson will meet you in the recovery area and discuss with you the results of the surgery.  Some patients will be able to be discharged home and others will need to stay at the hospital.  If you require an overnight stay, you will be moved to the ward.  Dr.  Anderson will check on you the following day and ensure that it is safe to discharge you home.  You will not be able to drive and will need someone to take you.  Patients are allowed to drive again once they can safely perform an emergency stop, usually 2 weeks after surgery.  A letter explaining the outcome of the surgery will also be sent to you and your GP.  A follow up consultation will be arranged, usually 2-4 weeks after the surgery.

 

Once you are home, please take the pain relief as directed.  If you experience any severe pain in the neck, chest or abdomen or have any other concerns, please contact us.  Please also let us know if you experience any fevers, chills or and if there is any redness or leakage around the incision sites. 

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After surgery, most patients are able to return to normal light activities within 2 weeks.  However, it is important to avoid heavy lifting and strenuous activities for the first 6 weeks after surgery.