Hernia
Hernias: What You Need to Know
Dr. Cheryl Lau
Oct 28, 2024
A hernia occurs when an abdominal organ, intestine, or fatty tissue pushes through a gap in the abdominal wall or groin. Normally, abdominal muscles are strong enough to keep internal organs in place, but hernias develop when these muscles weaken, particularly in areas like the belly button or groin.

Risk Factors for Hernias
Symptoms of a Hernia
A hernia may appear as a swelling or lump in the groin or as an abnormal bulge in the front of the abdomen. This swelling can be painful and often becomes more noticeable:
After standing for long periods.
When lifting heavy objects.
The lump may disappear when you lie down, a condition known as a reducible hernia.
However, an irreducible hernia—which cannot be pushed back into place—requires emergency medical attention.

Seek immediate care if your hernia:
Is extremely painful, growing quickly, and cannot be reduced.
Becomes swollen or red.
Causes nausea.
Is associated with constipation, bloating, or fever.
Treatment Options
Watchful Waiting
Groin hernias without symptoms may be monitored closely through regular check-ups.
Surgical Repair
Hernias causing discomfort or complications require surgery to prevent further issues. Two surgical options are available:
Open Surgery
An incision is made to access the hernia.
The protruding organ is repositioned, and the weakened area is stitched and reinforced with a synthetic mesh.
Mesh is used to strengthen the repair and reduce recurrence, though it is avoided in cases of infection.
Minimally Invasive Surgery
Small incisions are made in the abdomen.
A laparoscopic camera and instruments are used to repair the hernia with mesh.
Advantages include shorter hospital stays, quicker recovery, and reduced postoperative pain, bleeding, and scarring.
Discuss with us which surgical option best suits your condition. We will provide detailed information on all treatment options and recommend a personalized course of action tailored to your needs.