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    • James P. Nealon, MD, FACS
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Hernia Repair Surgery: What You Need to Know

*Disclaimer
The information provided on this webpage and it’s external links, is intended for general informational and independent research purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the direct guidance of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Do not disregard or delay seeking professional medical advice based on information obtained from this site.

What is a Hernia Repair Surgery?

A hernia occurs when an internal organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. Hernias often appear as a bulge under the skin and can cause discomfort, especially with movement or strain. Hernia repair surgery is a common procedure that corrects the weakness and returns displaced tissue to its proper place.

This page explains the types of hernias, when surgery is needed, what to expect during recovery, and where to find trusted resources.


What Is a Hernia?

Hernias can occur in several parts of the body, but they most commonly appear in the abdomen or groin. They can develop gradually or suddenly due to physical strain, muscle weakness, or previous surgical incisions.

Common types of hernias include:

  • Inguinal hernia – in the groin (most common, especially in men)
  • Umbilical hernia – near the belly button
  • Incisional hernia – at the site of a previous surgical scar
  • Hiatal hernia – part of the stomach pushes into the chest through the diaphragm
  • Femoral hernia – in the upper thigh, more common in women

Why Hernia Repair Surgery May Be Recommended

Hernias do not go away on their own and may become larger or more painful over time. In some cases, part of the intestine or other tissue can become trapped or strangulated, cutting off blood supply—this is a surgical emergency.

Your healthcare provider may recommend surgery if you have:

  • Pain or discomfort that interferes with daily activities
  • A hernia that is growing larger over time
  • Risk of complications such as bowel obstruction or strangulation
  • A hernia that cannot be pushed back in (incarcerated)

Types of Hernia Repair Surgery

There are two primary approaches to hernia repair:

1. Open Hernia Repair

  • Surgeon makes an incision near the hernia site
  • The bulging tissue is pushed back in, and the weakened area is repaired, often with mesh
  • Usually performed with local or general anesthesia

2. Laparoscopic (Minimally Invasive) Repair

  • Several small incisions are made
  • A camera and instruments are inserted to repair the hernia from inside
  • Usually performed under general anesthesia
  • Results in less post-op pain and faster recovery for many patients

Your surgeon will recommend the best method based on the hernia type, your health, and prior surgeries.


Before the Procedure

You may be asked to:

  • Avoid food and drink for several hours before surgery
  • Stop certain medications (like blood thinners) as directed
  • Arrange transportation home, especially for outpatient procedures
  • Complete pre-surgical lab tests or imaging

What to Expect During Surgery

  • The procedure usually takes 30 minutes to 2 hours
  • You’ll be under anesthesia (local, regional, or general, depending on the surgery)
  • Mesh is often used to strengthen the repair and reduce recurrence risk

After the Procedure

Recovery:

  • Open repair: Return to light activity in about 2–3 weeks
  • Laparoscopic repair: Return to light activity in 1–2 weeks
  • Full recovery varies by individual and surgery type (usually 4–6 weeks for strenuous activity)

Common post-op symptoms:

  • Mild to moderate pain or soreness
  • Bruising or swelling near the incision
  • Temporary restrictions on lifting or straining

Follow your provider’s instructions on wound care, medication, and activity. Most patients can return to normal eating and daily routines quickly.


Risks and Complications

While hernia repair is generally safe, potential risks include:

  • Infection
  • Bleeding or bruising
  • Nerve or blood vessel injury
  • Recurrence of the hernia
  • Chronic pain or numbness (rare)
  • Mesh-related complications (rare)

Your care team will explain the risks and steps taken to prevent complications.


Frequently Asked Questions (FAQs)

Will my hernia come back after surgery?
Most hernias do not return, especially when mesh is used, but recurrence is still possible.

Can I walk after surgery?
Yes, gentle walking is encouraged soon after surgery to help with circulation and healing.

When can I return to work?
Light-duty work may resume in 1–2 weeks, but heavy lifting or physical jobs may require more time.

Will I need to follow a special diet?
Most patients resume a normal diet soon after surgery. A high-fiber diet can help prevent constipation, which is important for healing.


Helpful Resources

  • Mayo Clinic – Hernia Repair
  • MedlinePlus – Hernia Surgery
  • American College of Surgeons – Patient Education
  • Cleveland Clinic – Hernia Overview

Have Questions?

If you’re considering hernia repair or have been scheduled for surgery, speak with your provider. We’re here to help you feel confident and prepared every step of the way.

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