Laparoscopic Inguinal Hernia Repair - Procedure and Recovery

Medically Reviewed by
Dr. Aman Priya Khanna
Laparoscopic Inguinal Hernia Repair

Treatment Duration


30 Minutes

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45 Minutes

Treatment Cost



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Laparoscopic Inguinal Hernia Repair
Medically Reviewed by Dr. Aman Priya Khanna Written by Sangeeta Sharma

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According to Cureus et al., 2023, inguinal hernia affects around 1.5 to 2 million people in India, with men being more likely than women to develop it. Laparoscopic inguinal hernia repair offers an effective solution for this common condition with minimal invasiveness and faster recovery times.

Want to learn more about this treatment? The article will explore keyhole surgery for hernia, its risks, benefits, estimated costs, and more.

Procedure Name

Laparoscopic Inguinal Hernia Repair

Alternative Name

Laparoscopic (keyhole) surgery, laparoscopic hernioplasty

Conditions Treated

Bilateral and recurrent unguinal hernias

Benefits of Procedure

Minimally invasive, low recurrence

Treated By

General surgeons 

What is laparoscopic inguinal hernia repair?

Laparoscopic inguinal hernia repair is a minimally invasive surgical procedure for repairing hernias in the groin area.  Instead of a large incision, small keyhole-sized openings are made in the abdomen, allowing the surgeon to insert a camera. This approach offers advantages such as reduced post-operative pain and faster recovery times. 

Anatomy of the Inguinal Region

The inguinal region, located in the lower abdomen. The anatomy is as follows:

  1. Inguinal Canal: A passage in the lower abdominal wall that contains the spermatic cord in men and the round ligament of the uterus in women.

  2. Spermatic Cord (in males): It contains structures such as the vas deferens, testicular arteries, veins, lymphatics, and nerves.

  3. Inguinal Ligament: A band of fibrous tissue that runs from the anterior superior iliac spine to the pubic tubercle. It forms the inferior border of the inguinal canal.

Conditions Treated with Laparoscopic Inguinal Hernia Repair

Laparoscopic inguinal hernia repair is commonly used to treat various conditions related to inguinal hernias causing discomfort, pain, or tenderness. It is also recommended for:

  1. Incarcerated Hernias: When a portion of the abdominal contents becomes trapped within the hernia sac and cannot be reduced back into the abdominal cavity.

  2. Strangulated Hernias: A serious complication where the blood supply to the trapped abdominal contents is compromised, leading to tissue damage. 

  3. Paediatric Inguinal Hernias: Surgery is recommended for inguinal hernias in children to prevent complications such as incarceration or strangulation.

  4. Recurrent Hernias: It is effective for repairing recurrent hernias, which occur when a previously repaired condition returns. 

Before and on the Day of Inguinal Hernia Laparoscopic Surgery

A laparoscopic hernia operation time of completion is around 30 minutes. Bilateral repairs take less than an hour. Before the surgery, patients undergo pre-operative assessments and instructions to avoid any complications. 

Before Surgery 

Before laparoscopic hernia surgery, patients may receive preoperative antibiotics to reduce the risk of infection and blood clots during the procedure. 



Pre-op Assessment

Blood tests, EKG (electrocardiogram), chest X-ray

Risk Evaluation

  1. Allergies

  2. Evaluating benefits vs risks of the procedure


  1. Blood-thinning medications two weeks before the procedure 

  2. Alcohol the night before VASER 

Anaesthesia Selection



6-8 hours before surgery 

On the Day of Surgery

On the day of lap hernia surgery, patient should wear loose-fitting clothes to stay comfortable in the hospital.





Surgical Preparation

  1. Changing into a hospital gown 

  2. Marking the area of the incision

Physical Evaluation

Checking for vital signs (blood pressure, pulse rate, body temperature)

IV Line

Yes, for fluids to be administered

Expert Doctors

Dr. S K Tiwari

General Surgery

40+ Years




Dr. Neeraj Goyal

General Surgery

27+ Years




NABH Accredited Hospitals

Alpine Hospital

Alpine Hospital

4.91/5(91 Ratings)
Sector 15, Gurgaon
BH Salvas Hospital

BH Salvas Hospital

4.89/5(99 Ratings)
Najafgarh, Delhi
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Laparoscopic Inguinal Hernia Repair Procedure

There are two basic procedures for laparoscopic hernia surgery: Transabdominal Preperitoneal (TAPP) and Totally Extraperitoneal (TEP). Both procedures are similar; however, in TAPP, the peritoneum (abdominal membrane) is cut, necessitating closure following mesh placement. On the other hand, TEP is done completely outside the peritoneum. 

  1. Preparation: The patient is placed in a supine position with both arms tucked. Three small incisions are made in the abdomen, and carbon dioxide gas is introduced to create space.

  2. Placement of Trocars: Hollow tubes are inserted through the cuts, providing access to the laparoscope (a thin tube with a camera) and surgical instruments.

  3. Visualisation: The laparoscope is inserted through one of the trocars, allowing the surgeon to see the hernia and surrounding anatomy on a monitor.

  4. Reduction of Hernia: The hernia sac is cut and reduced back into the abdominal cavity.

  5. Mesh Placement: A patch is then placed over the hernia defect to reinforce the weakened area and prevent recurrence.

  6. Closure: Once the mesh is securely in place, the trocars are removed, and the incisions are closed with sutures or surgical glue.

After Surgery and Recovery

After keyhole surgery for hernia, patients experience mild discomfort and may be prescribed pain medication as needed. The healing process includes the following: 

The Recovery Process in Hospital

During the recovery process in the hospital following laparoscopic hernioplasty, patients would require someone to take them home. As it is an outpatient procedure, individuals are discharged within 3-6 hours once they can walk without experiencing dizziness. 

Recovery Process/Expectation after Hospital Discharge

After hospital discharge, the inguinal hernia surgery recovery time can be anywhere around 1 to 2 weeks. The guidelines to keep in mind during this phase are:

  1. Gradually return to light activities and normal routine after 1 to 2 weeks.

  2. Strenuous exercise should be avoided for at least 4 weeks.

  3. With doctor approval, patients may be allowed to shower 24 to 48 hours after surgery, being careful to pat the incision dry.

First Follow-Up Appointment

After inguinal hernia laparoscopic surgery, patients are advised to schedule a follow-up appointment with their surgeon after 7 days. During this initial post-operative visit, the surgeon will assess the patient's recovery progress and evaluate the surgical site.

Benefits of Laparoscopic Inguinal Hernia Repair

When comparing open mesh vs laparoscopic mesh repair of inguinal hernia, the latter approach offers several benefits, including a low recurrence rate of around 0% to 2%. The key advantages include:

  1. Involves smaller incisions, resulting in less tissue trauma and reduced post-operative pain.

  2. Minimal scarring, providing improved cosmetic outcomes.

  3. Lower rates of complications that are less than 4%.

Risks and Complications of Laparoscopic Inguinal Hernia Repair

While generally safe, inguinal hernia laparoscopic surgery carries certain complications. Seroma (fluid accumulation) and haematoma (blood pooling) are common post-surgery occurrences. Other risks include:

  1. Infection at the surgical site

  2. Persistent or chronic pain

  3. Injury to nearby nerves during surgery

When to consult a doctor?

Following a laparoscopic hernia operation, patients should promptly consult a doctor if they experience any concerning symptoms. Early detection and management of complications are crucial for ensuring optimal recovery. Common reasons to consult a professional include:

  1. Pain that does not improve or worsen over time

  2. A fever above 100.4 F may be a sign of infection

  3. Any signs of increased redness, warmth, or drainage from the surgical site

  4. Excessive or rapidly increasing swelling

  5. Difficulty urinating or changes in bowel habits

Risks of Delaying Laparoscopic Inguinal Hernia Repair

With time, the hernia may enlarge, making it more challenging to repair and increasing the risk of complications during surgery. It raises the likelihood of the hernia becoming incarcerated (trapped), which can progress to strangulation. In this condition, the blood supply to the trapped tissues is cut off.  

Cost of Laparoscopic Inguinal Hernia Repair

The cost of keyhole surgery for hernia can vary widely depending on factors such as the specific hospital or surgical centre chosen. In general, the price include:

Treatment Name

Estimated Cost Range

Laparoscopic Inguinal Hernia Repair

₹ 45,000 to ₹ 1,50,000

Note: The figures mentioned above are just an estimate. Contact HexaHealth to get precise information.

Factors that may affect the cost of laparoscopic hernia surgery include:

  1. Surgeon's Fees: The experience and expertise of the doctor performing the procedure can affect the cost. Surgeons with advanced training or specialisation may charge higher fees.

  2. Pre- and Post-Surgery Evaluations: Pre-operative consultations, laboratory tests, imaging studies, and post-operative care may incur extra expenses.

  3. Additional Interventions: Unexpected complications during surgery or post-operative care may require medical interventions. This can increase the overall cost of treatment.


Laparoscopic inguinal hernia repair offers a minimally invasive approach to addressing hernias in the groin area. Patients undergoing this procedure can expect smaller incisions, shorter hospital stays, and quicker return to normal activities. However, navigating the complexities of healthcare, including finding the right surgeon, can be challenging.

HexaHealth streamlines the process by connecting patients with experienced doctors who specialise in lap hernia surgery. Through our platform, patients can easily schedule consultations and verify insurance coverage. Get in touch!

Suggested Reads

Hernia Inguinal Hernia
Umbilical Hernia
Ways to Prevent Hernia

Frequently Asked Questions (FAQ)

Laparoscopic inguinal hernia repair is a minimally invasive surgical procedure. In this method, three small incisions are made in the abdomen to access and repair the hernia.


Laparoscopic hernia repair addresses smaller, less complicated hernias. It's a suitable option for patients with certain types of hernias, like ventral or recurrent hernias.


During laparoscopic inguinal hernia repair, the surgeon makes small incisions in the abdomen and inserts a tiny camera and special instruments to repair the hernia. This minimally invasive approach allows for faster recovery and less postoperative discomfort.


Inguinal hernia repair and surgery refer to the same procedure, which involves fixing a hernia in the groyne area. It's commonly done either through traditional open surgery or laparoscopically, with the latter offering smaller incisions and quicker recovery.


Laparoscopic inguinal hernia repair surgery takes 30 to 45 minutes to complete. The procedure involves making small incisions in the abdomen.


The lap hernia operation cost in India starts from ₹ 45,000 and can go up to ₹ 1,50,000, For accurate pricing information, contact HexaHealth.


In many cases, laparoscopic inguinal hernia repair is covered by health insurance plans. However, coverage may vary due to factors such as the specific insurance policy and the patient's circumstances. Patients should verify with HexaHealth to understand specific details.


Laparoscopic hernia repair offers several advantages over traditional open surgery. The key benefits involved are:

  1. Smaller incisions

  2. Reduced post-operative pain

  3. Faster recovery

  4. Lower risk of complications


After laparoscopic inguinal hernia repair, patients experience a recovery period of 1 to 2 weeks before gradually returning to light activities. However, strenuous exercise should be avoided for at least four weeks to allow for proper healing of the surgical site.


Patients are advised to avoid driving for at least 2 to 4 days after laparoscopic hernia repair surgery due to the effects of anaesthesia. It is important to wait until you fully recover and no longer experience dizziness or impaired mobility.


Laparoscopic inguinal hernia repair, while generally safe, carries a complication rate of 7% to 14%. These major risks include:

  1. Seroma and hematoma formation

  2. Infection

  3. Chronic pain

  4. Nerve damage

  5. Recurrence


Patients undergoing laparoscopic hernia repair can return to work within 1 to 2 weeks, depending on the nature of their job. Physically demanding occupations may require a longer recovery period of at least 4 weeks.


During the recovery period after laparoscopic hernia repair, patients can expect mild discomfort, swelling, and fatigue for the first 7 days. The patient should be fully healed within 4 to 6 weeks.


Following laparoscopic hernia surgery, it's essential to take certain precautions to promote healing and reduce the risk of complications. These include:

  1. Avoid lifting heavy objects or engaging in strenuous activities for 4 weeks.

  2. Follow the surgeon's instructions regarding medication and wound care

  3. Attend all follow-up appointments with the surgeon for monitoring and evaluation.


Patients can shower 24 to 36 hours after laparoscopic hernia repair surgery. They should avoid scrubbing the incision area and gently pat it dry afterwards to prevent irritation.


After laparoscopic hernia repair, it's important to avoid lifting heavy objects or engaging in strenuous activities for four weeks. This will help to prevent strain on the surgical site and promote proper healing.


Laparoscopic hernia repair surgery has a low recurrence rate of around 0% to 2%, indicating its effectiveness in preventing hernia recurrence. The success rate is over 90%.


While laparoscopic inguinal hernia repair is effective, hernia recurrence is still possible, although the rate is generally low (0%-2%). Factors such as the size of the hernia and the technique used can influence the likelihood of recurrence.


In laparoscopic surgery, three to four small incisions are made around the hernia. One incision measures less than one inch in size, while the other cuts are slightly smaller.



All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.

  1. Anatomy of the Abdomen and Groin [Internet]. Saint Luke’s Health
  2. Laparoscopic Inguinal Hernia Repair [Internet]. [cited 2024 May 1].link
  3. Australia H. Laparoscopic inguinal hernia repair (TEP) [Internet]. 2022. link
  4. Inguinal Hernia Surgery Guide | Preparing for Surgery [Internet]. [cited 2024 May 1].link
  5. Jan Z, Ali S, Ahmed N, Sarwar MA. Comparison of Common Postoperative Complications Between Lichtenstein Open Repair and Laparoscopic Transabdominal Pre-peritoneal (TAPP) Repair for Unilateral Inguinal Hernia. Cureus. 2021 Sep 10;link
  6. Miguel PR, Reusch M, daRosa AL, Carlos JR. Laparoscopic hernia repair--complications. JSLS : Journal of the Society of Laparoendoscopic Surgeons [Internet]. 1998 [cited 2024 May 1];2(1):35–
  7. Chowbey PK, Pithawala M, Khullar R, Sharma A, Soni V, Baijal M. Complications in groin hernia surgery and the way out. Journal of Minimal Access Surgery [Internet]. 2006 Sep 1;2(3):174–
  8. Agarwal PK. Study of Demographics, Clinical Profile and Risk Factors of Inguinal Hernia: A Public Health Problem in Elderly Males. Cureus [Internet]. 2023 Apr 1 [cited 2023 Sep 25];15(4)
  9. Bansal R. What is a Laparoscopy Surgery? Procedure, Risks and Advantages [Internet]. Fertility Blogs & News - Crysta IVF. 2022 [cited 2024 May 1].link
  10. Agarwal PK, Sutrave T, Kaushal D, Vidua R, Malik R, Maurya AP. Comparison of Postoperative Chronic Groin Pain After Repair of Inguinal Hernia Using Nonabsorbable Versus Absorbable Sutures for Mesh Fixation. Cureus. 2023 Feb 27;link
Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.


Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More


Sangeeta Sharma

Sangeeta Sharma

BSc. Biochemistry I MSc. Biochemistry (Oxford College Bangalore)

6 Years Experience

She has extensive experience in content and regulatory writing with reputed organisations like Sun Pharmaceuticals and Innodata. Skilled in SEO and passionate about creating informative and engaging medical conten...View More

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