Open Inguinal Hernia Repair (Herniorrhaphy, Hernioplasty)
For open hernia repair surgery, a single cut (incision) is made in the groin.
The weak spot in the muscle wall of the belly—where the hernia bulges through—is repaired by sewing the edges of healthy muscle tissue together (herniorrhaphy). This works for smaller hernias that have been present since birth (indirect hernias) and for healthy muscle tissue, where it is possible to use stitches without adding stress on the tissue. The surgical approach varies depending on the area of muscle wall to be repaired.
A patch of special material may be used to repair hernias (hernioplasty). This is especially true for large hernias and for hernias that come back. A patch is sewn over the weak spot in the belly wall after the hernia is pushed back into place or tied off and removed. The patch decreases the tension on the belly wall. This reduces the risk that a hernia will come back.
What To Expect
Most people who have open hernia repair surgery are able to go home the same day. Recovery time is a few weeks.
You most likely can return to light activity in about 3 weeks. Strenuous exercise should wait until after 6 weeks of recovery or until your doctor says it's okay.
Avoid lifting anything that would make you strain. This may include heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, a vacuum cleaner, or a child.
Ask your doctor when you can drive again and when you can have sex again.
Swelling over the incision is common after hernia surgery. To reduce swelling and pain, put ice or a cold pack on the area for 10 to 20 minutes at a time. Do this every 1 to 2 hours. Put a thin cloth between the ice and your skin.
Why It Is Done
Surgical repair is recommended for inguinal hernias that are causing pain or other symptoms and for hernias that are incarcerated or strangulated. Surgery is always recommended for inguinal hernias in children.
How Well It Works
Open surgery for inguinal hernia repair is safe. The chance that a hernia needs more than one repair is low, especially if a special patch is used to support the weak spot in the muscle wall. The chance of a hernia coming back also depends on your age and overall health.
Current as of: October 19, 2024
Author: Ignite Healthwise, LLC Staff
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All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
