Specialist Surgeon | Female Health Care | Cape Town Mediclinic
A hernia is an opening or weakness in the abdominal wall through which abdominal contents can bulge. A hernia does not go away on its own, and surgical repair is the main treatment. Repair may be done as open surgery or as keyhole (laparoscopic) surgery, usually with a mesh to reinforce the weak area.
What Types of Hernia Are There?
- Inguinal hernia: a bulge in the groin.
- Femoral hernia: just below the groin crease.
- Umbilical hernia: around the navel.
- Incisional hernia: through the scar of a previous operation, sometimes years later.
Most people notice a bulge at the site, which may disappear when lying down.
Does Every Hernia Need Surgery?
Not always immediately. For an inguinal hernia that causes no pain or discomfort, watchful waiting may be advised. Hernias do not resolve without surgery and tend to enlarge, so each hernia is assessed individually to decide whether and when repair is advisable.
What Is the Difference Between Open and Keyhole Repair?
- Open repair: a single incision over the hernia. It is often used for larger or more complex hernias, or where a general anaesthetic is not preferred, as it can be done under general, spinal or local anaesthetic.
- Keyhole (laparoscopic) repair: several small incisions in the abdomen, with the repair performed using a camera. It is often offered for hernias on both sides or a hernia that has returned after previous repair. It is done under general anaesthetic.
The approach depends on the type, size and position of the hernia and on your general health. Your surgeon will explain which approach suits you. More detail is on the hernia surgery page.
Why Is Mesh Used?
Mesh is a flat material placed over the weak area of the muscle wall. Tissue grows through it, strengthening the repair. In some cases stitches alone are used.
Frequently Asked Questions
Will my hernia go away without surgery?
No. Hernias do not go away on their own and normally get bigger.
Can I wear a support or truss instead?
Taping or binding a hernia does not reduce the likelihood of it becoming trapped. Discuss the options with your doctor.
When should I seek urgent help?
Seek urgent medical attention if the hernia becomes suddenly painful, cannot be pushed back, turns red, purple or dark, or if you have nausea or vomiting, or cannot pass stool or wind.
To discuss a hernia and the options for repair, please arrange a consultation with Dr. Loots.
Book a ConsultationThis article provides general information only and does not constitute medical advice. If you are concerned about your health, please seek advice from a doctor.