Inguinal Hernia Surgery: Treatment, Procedure, Risks, Recovery

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Inguinal Hernia Surgery

Treatment Duration

30 Minutes

To

45 Minutes

Treatment Cost

Rs 35000

To

Rs 120000

Inguinal Hernia Surgery is a surgical procedure done to repair a hernia in the groin (area of the hip between the stomach and thigh). This procedure is also known as Herniorrhaphy, Hernioplasty, and Herniotomy.

Inguinal hernia surgery is a safe procedure that usually takes about 30 to 45 minutes to complete. The recovery after the surgery is generally quick and effortless.

Surgery Name Inguinal Hernia Surgery
Alternative Name Herniorrhaphy, Hernioplasty, Herniotomy
Diseases Treated Direct inguinal hernia, indirect inguinal hernia, Strangulated hernia
Benefits of the Surgery

Remove any bulge or lump, Prevent complications, Help reduce pain and discomfort, Shorter recovery time

Treated by General Surgeon

What is Inguinal Hernia Surgery?

Inguinal Hernia Surgery is a surgical procedure done to repair a hernia in the groin (area of the hip between the stomach and thigh). A hernia is a bulge in the abdominal wall caused by a weak area. An inguinal hernia is a type of hernia in the groin. This can be present since birth (indirect inguinal hernia) or develop later in life due to the weakening of the abdominal muscles (direct inguinal hernia).

Anatomy and Physiology Inguinal Region

The inguinal region, also known as the groin of the body is the area where the upper thighs meet the lowest part of the abdomen. Normally, the abdomen and groin are separated by a wall of muscle and tissue. The only wall openings are small tunnels called the inguinal and femoral canals. The inguinal canal comprises a floor, anterior wall, posterior wall, and roof. 

  1. Roof: formed by muscles: internal oblique, transversus abdominis
  2. Anterior: formed by aponeuroses: internal oblique, external oblique
  3. Floor: formed by ligaments: inguinal ligament, lacunar ligament
  4. Posterior: formed by tendon and transversalis fascia

Generally, In males, these canals allow the spermatic cord and ilioinguinal nerve to pass between the abdomen and the groin area. Whereas in females, these canals allow round ligament of the uterus and ilioinguinal nerve to pass between the two regions.

Conditions treated with Inguinal Hernia Surgery

Inguinal hernia surgery is mainly considered when the patient has the following types of hernia. 

  1. Direct Inguinal Hernia: This type of inguinal hernia penetrates directly through the wall of the inguinal canal. This generally occurs in adults over time.
  2. Indirect Inguinal Hernia: This type of inguinal hernia enters the inguinal canal through the top. This usually occurs in newborn babies as a birth defect.
  3. Strangulated Hernia: A type of hernia in which the contents of the hernia are ischemic due to a compromised blood supply.

Who needs Inguinal Hernia Surgery?

A doctor may recommend inguinal hernia surgery to a patient if he/she experiences:

  1. Swelling in the scrotum (the sac-like structure holding the male testicles)
  2. Pain in the groin area which  gets aggravated while coughing, exercising, or lifting any object
  3. A bulge in the groin (the area where the upper thigh and the lower abdomen connect)
  4. Weakness or pressure in the groin area.

How is Inguinal Hernia Surgery performed?

Inguinal hernia surgery involves repairing the posterior (rear) wall of the inguinal canal. The procedure is generally performed under anaesthesia (local or general) based on the severity of the hernia. The procedure usually takes 30 to 45 minutes to complete depending on the patient’s age, other comorbidities and the severity of the condition. The following steps are involved in the procedure:

  1. The patient will be administered anaesthesia (local, regional or general). The type of anaesthesia will be decided by the doctor/surgeon based on the results of the pre-anaesthesia evaluation of the patient.
  2. The surgeon will then check the vital measures of the patient such as the heart rate, oxygen concentration, and blood pressure throughout the procedure.
  3. The surgical area will also be cleaned using an antiseptic solution.
  4. Once the patient is stable after administering the anaesthesia, the surgeon conducts the procedure.
  5. Surgery for repairing an inguinal hernia can be performed in three ways:
    1. Open surgery:
      1. Local anaesthesia or a regional anaesthetic is commonly used during open inguinal hernia surgery. It is injected into the spine. In some cases, general anaesthesia may be given.
      2. The surgeon will make a single incision of 6 to 8 centimetres over the hernia.
      3. Following this, the surgeon will place the fatty lump of tissue or bowel loop back inside the incision site.
      4. The surgeon will implant a mesh at the weak area where the hernia developed to strengthen the abdominal wall.
      5. The surgeon will use stitches to close the surgical site after the repair is done.
      6. In the case of strangulated hernia, the damaged part of the bowel may be removed, followed by joining the two healthy ends of the bowel.
      7. Open surgery is preferred in the case of larger hernias. 
    2. Laparoscopic surgery:
      1. During this surgery, the patient will be placed under general anaesthesia.
      2. Instead of a single big incision, the surgeon will create 3 to 5 small incisions in the lower abdomen during the surgery.
      3. The surgeon will insert a laparoscope (a narrow tube with a tiny video camera attached to it through one of the incisions.
      4. Other incisions will be used to insert the instruments to repair the hernia.
      5. The surgeon will then use a piece of mesh to seal and strengthen the abdominal wall.
    3. Robotic surgery:
      1. It is performed in a similar way as laparoscopic surgery. 
      2. In robotic surgery, the surgeon will sit at a console in the operating room and control the surgical instruments from there. 
      3. Robotic surgery is a newer technique and can be utilised to repair some minor hernias and rebuild the abdominal wall.
  6. Once the surgery is performed, the patient is taken to a recovery room. Here the patient is monitored until his or her health condition becomes stable.

What to expect before and on the day of Inguinal Hernia Surgery?

Before undergoing inguinal hernia surgery, the doctor/surgeon will discuss and prepare the patient for the surgery. These steps often involve:

Before Inguinal Hernia Surgery

Before undergoing the inguinal hernia procedure, the doctor will:

  1. Recommend pre-operative examinations/investigations that include physical examination, blood tests, and other tests that may be required to ensure if the patient is healthy enough to endure the anaesthetic procedure.
  2. Advise the patient to stop certain medications such as aspirin and salicylate-containing painkillers at least a week before the surgery, as they can increase the risk of bleeding.
  3. Advise the patient to fast starting from midnight before the surgery.
  4. Advise the patient to take specific medications on the day of surgery and take them only with a sip of water.
  5. Ask the patient to sleep well the night before the surgery.
  6. Ask the patient to plan for someone to drive home after the surgery. The patient will be unable to drive or get home on his/her own due to the anaesthesia and pain medication.

On the day of Inguinal Hernia Surgery

  1. The patient must reach the hospital before the scheduled time for the surgery.
  2. The patient will be asked to sign a consent form. 
  3. The patient will be instructed to remove his/her street clothes and jewellery and wear a hospital gown.
  4. If necessary, any pre-operative medications will be administered, and the vitals will be checked and documented.
  5. A nurse will place an intravenous catheter in the patient’s hand or forearm, and then general anaesthesia will be administered.
  6. The patient will be shifted to the operation theatre for the procedure.

What to expect after Inguinal Hernia Surgery?

A patient who has undergone an inguinal hernia surgery can expect the following after the surgery:

The recovery process at the hospital

  1. After the surgery, the patient will be moved to a recovery room where the vitals (heart rate, blood pressure, respiratory rate) and urine output will be constantly monitored. 
  2. If the patient experiences post-anaesthesia difficulties such as severe nausea, vomiting, or unable to pass urine, he/she may be admitted to the hospital for the night.
  3. If the patient was given general anaesthesia, the coordination and reasoning might be compromised for a brief period. So, the patient must avoid driving, alcohol, and making big decisions for 48 hours after the surgery.
  4. The surgical site will be sore and uncomfortable after the operation. Painkillers will be provided to the patient to help deal with the pain.
  5. The patient will only be discharged from the hospital when the condition of the patient stabilises.
  6. The patient would be able to go home on the same day if he/she were administered a local anaesthetic.

Recovery process/expectation after hospital discharge

  1. All the instructions provided by the doctor must follow at home.
  2. The patient must:
    1. Increase the activity level gradually to avoid clot formation.
    2. Avoid heavy lifting and intense activities for 4 to 6 weeks.
    3. Drink plenty of fluids and eat a high-fibre diet to reduce the chances of constipation. Constipation might create pain around the wound if the patient strain during bowel movement.
    4. Avoid wearing tight-fitting clothes as they can rub against the incision site and hamper the healing process.
    5. Wash the hands before and after the patient touches the incision site.
    6. Follow the surgeon’s recommendations when it comes to changing the bandages.

First follow-up appointment

  1. The first follow-up appointment with the doctor will usually be scheduled within 2 weeks after the surgery.
  2. During the follow-up, the doctor will do a thorough check-up of the surgical site to check for the recovery process.
  3. The doctor might also change the medication or advise the patient to continue with the previous medication for some more time, depending on the condition and recovery of the surgical area.
  4. The doctor will advise the patient for further timely follow-ups as well.

Benefits of Inguinal Hernia Surgery

Inguinal hernia surgery is a safe procedure as it helps relieve the symptoms of a hernia and improve the quality of life of an individual. Below mentioned are some of the benefits of inguinal hernia surgery.

  1. Remove any bulge or lump
  2. Prevent complications
  3. Help reduce pain and discomfort
  4. A quicker return to work and a shorter recovery time (days instead of weeks)

Risks and complications of Inguinal Hernia Surgery

Like any other surgical procedure, inguinal hernia surgery also has risks and complications associated with it. These include:

  1. Infection
  2. Bleeding
  3. Blood clots
  4. Breathing problems
  5. Allergic reactions to anaesthesia, other medications, or materials used during surgery.
  6. Damage to other blood vessels or organs
  7. Damage to the nerves
  8. Damage to the testicles if a blood vessel connected to them is harmed
  9. Long-term pain in the cut area
  10. Return of the hernia

When is consultation with the doctor needed?

A patient must contact the doctor/surgeon right away if he/she experiences any of the following symptoms: 

  1. Bleeding from the incision site
  2. Foul-smelling discharge from the incision site
  3. A temperature greater than 38°C for an extended period 
  4. Increased abdominal swelling or discomfort that isn’t alleviated by painkillers
  5. Consistent nausea or vomiting, as well as chills
  6. Increasing redness around the incisions 
  7. Continuous coughing or shortness of breath 
  8. Inability to pass urine

Risks of delayed Inguinal Hernia Surgery

Delaying surgery for an inguinal hernia can lead to the following complications:

  1. Incarcerated hernia: When herniated tissue becomes stuck and cannot be easily pushed back into place, it is called an incarcerated hernia.
  2. Strangulated hernia: If left untreated, an incarcerated hernia can turn into a strangulated hernia. The intestine’s blood flow can be severed, resulting in ‘strangulation’. This is a life-threatening medical condition.

Cost of Inguinal Hernia Surgery

The cost of inguinal hernia surgery ranges from ₹35,000 to ₹1,20,000. The cost varies based on the following factors:

  1. Age of the patient
  2. Type of the procedure done
  3. Technique and equipment used
  4. The medical condition of the patient
  5. The type of hospital facility availed - individual room or shared.
Procedure Name Cost Value
Inguinal Hernia Surgery ₹35,000 to ₹1,20,000

Frequently Asked Questions on Inguinal Hernia Surgery

What are the myths versus facts about inguinal hernia surgery?

  1. Myth: Inguinal hernia surgery is a painful procedure.
    Fact: Inguinal hernia surgery is generally performed under local, regional or general anaesthesia. Thus the patient will not feel any pain during the surgery. However, the patient may feel some discomfort and pain post-surgery which will gradually go away with time.

What is inguinal hernia surgery?

Inguinal Hernia Surgery is a surgical procedure done to repair a hernia in the groin (area of the hip between the stomach and thigh). A hernia is a bulge in the abdominal wall caused by a weak area. An inguinal hernia is a type of hernia in the groin.

What is the approximate duration of inguinal hernia surgery?

Usually, the inguinal hernia surgery procedure takes 30 to 45 minutes to complete, depending on the patient's age, medical condition of the patient and the complexity of the case.

Is inguinal hernia surgery a major surgery?

Open inguinal hernia surgery is a major surgery that is performed under general anaesthesia or local anaesthesia and sedation. The procedure is done through one or two standard-sized incisions (three to six inches in length) that allow the surgeon to fully visualize and access the problematic area.

How long does it take to recover from a inguinal hernia surgery?

Recovery from inguinal hernia surgery varies from person to person. However, a patient generally takes about 1 or 2 weeks to fully recover after inguinal hernia surgery.

What are the risks associated with inguinal hernia surgery?

As with any surgical procedure, inguinal hernia surgery also is associated with some risks. These include:

  1. Damage to other blood vessels or organs
  2. Damage to the nerves
  3. Damage to the testicles if a blood vessel connected to them is harmed
  4. Long-term pain in the cut area
  5. Return of the hernia

What are the advantages of inguinal hernia surgery?

Inguinal hernia surgery is a safe procedure with several benefits. Some of the benefits of inguinal hernia surgery include: 

  1. Remove any bulge or lump
  2. Prevent complications
  3. Help reduce pain and discomfort
  4. A quicker and a shorter recovery time 

Which surgery is best for inguinal hernia?

Laparoscopic inguinal hernia surgery is the best treatment method to repair an inguinal hernia as this treatment method involves shorter hospital stays, fewer recurrences, and lower postoperative complications.

Can you walk around after inguinal hernia surgery?

Generally, there are no medical or physical restrictions on activity after surgery. However, a person must avoid strenuous activities and lifting heavy weights for about 4 to 6 weeks.

What is the success rate of inguinal hernia surgery?

Studies have identified that the success rate of inguinal hernia surgery is about 90 to 99%.

Does inguinal hernia surgery cause pain?

A patient may feel pain and discomfort before and after the inguinal hernia surgery. However, the patient may not feel any pain during the surgery as the procedure is performed under anaesthesia.

What are the side effects of inguinal hernia surgery?

Side effects or complications that occur after inguinal hernia surgery include:

  1. Wound seroma/hematoma
  2. Urinary retention
  3. Superficial incisional surgical site infection

When does an inguinal hernia surgery needed?

The inguinal hernia surgery is usually recommended by the doctor if a patient has a hernia that causes pain, severe or persistent symptoms, or if any serious complications develop.

What is the cost of inguinal hernia surgery?

The cost of inguinal hernia surgery ranges from ₹35,000 to ₹1,20,000. The cost varies on several factors.

Why does the cost of inguinal hernia surgery vary for different patients?

The cost of inguinal hernia surgery differs due to factors including the patient’s age, the type of procedure done, techniques and equipment used, the type of hospital, and the admission room that a patient opts for.

Does insurance cover inguinal hernia surgery?

Yes, all health insurance plans cover inguinal hernia surgery. Paperwork is facilitated by our team on your behalf ensuring smooth approval and a cashless facility. Contact HexaHealth for a simple cashless and hassle-free experience.

More Treatment options

Expert Doctors for Inguinal Hernia Surgery

Dr. Mayank Madan

Dr. Mayank Madan

GI, Minimal Access and Bariatric surgery
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Dr. Jyoti Bhat

Dr. Jyoti Bhat

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Dr. Vikas Panwar

Dr. Vikas Panwar

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Dr. K. N. Srivastava

Dr. K. N. Srivastava

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Dr. Karan R Rawat

Dr. Karan R Rawat

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Dr. Sunil Dhar

Dr. Sunil Dhar

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Dr. Ajay Jain

Dr. Ajay Jain

Laparoscopic Surgery
34 years experience
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Dr. R.C.M Kaza

Dr. R.C.M Kaza

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NABH Accredited Hospitals for Inguinal Hernia Surgery

Eden Hospital

Eden Hospital

162, Raja Dhirsen Marg 110065
Excellence in General Surgery
4.8/5
SRV Hospital, Chembur

SRV Hospital, Chembur

Dr Mandakini Parihar Marg, opposite Lokmanya Tilak Terminus 400089
Excellence in General Surgery
4.8/5
Maa Ram Pyari Superspeciality Hospital, Ranchi

Maa Ram Pyari Superspeciality Hospital, Ranchi

Harihar Singh Road 834009
Excellence in General Surgery
4.6/5
SCI International Hospital

SCI International Hospital

4, Hansraj Gupta Rd 110048
Excellence in General Surgery
4.9/5
Mayom Hospital, Gurugram

Mayom Hospital, Gurugram

D-Block, 19, S City Rd Number 1 122001
Excellence in General Surgery
4.8/5
Mayom Hospital

Mayom Hospital

D-Block, 19, S City Rd Number 1, Block G 122001
Excellence in General Surgery
4.7/5
Fortis Hiranandani Hospital

Fortis Hiranandani Hospital

Mini Sea Shore Road 400703
Excellence in General Surgery
4.8/5
SRV Hospital, Goregaon

SRV Hospital, Goregaon

179, Kamal Charan Building 400062
Excellence in General Surgery
4.5/5

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