Hernia Repair
A hernia occurs when tissue pushes through a weakened area of the abdominal wall, creating a bulge.
What a hernia is
The weakness may be present from birth, may develop with age and strain, or may form along the scar of a previous operation.
Types treated
- Inguinal (groin) — the most common, particularly in men
- Umbilical — at or near the navel
- Incisional — through the scar of a previous abdominal operation
- Femoral — in the upper thigh, more common in women
- Recurrent — a hernia that has returned after previous repair
Symptoms
- A bulge that appears on standing, coughing or lifting, and may disappear when lying down
- Aching, heaviness or a dragging sensation, typically worse by the end of the day
- Discomfort on exertion
When to seek urgent care
Go to an emergency department immediately if the bulge becomes suddenly painful, firm, discoloured, or cannot be pushed back in — especially with vomiting or inability to pass stool. This may mean the tissue's blood supply is cut off, which requires emergency surgery.
Why hernias need attention
A hernia does not heal on its own and does not shrink. Left alone it usually enlarges slowly, and repair becomes more complex as it does. Small, painless hernias can sometimes be monitored rather than operated on immediately — a decision made together, based on your symptoms, your work, and your general health.
The repair
Repair may be open or laparoscopic, and the right choice depends on the type of hernia, whether it is one-sided or both, whether it has recurred, and your own circumstances. Modern repair uses tension-free mesh to reinforce the weakened wall.
Laparoscopic repair is often particularly suited to hernias on both sides and to recurrent hernias, since it avoids operating through previous scar tissue. Dr. Younes will explain which approach he recommends for your hernia, and why.