Hernia Repair

Hernia Repair Surgery

Surgery for hernia aims to correct the mechanical defect and minimizing future recurrences. The two common approaches are either keyhole or open. Sometimes a combination of these two techniques may be required. Each of these techniques has its advantages and disadvantages.

The surgeon will need to take into account the type of hernia, location and important patient factors prior to repair. These include patient fitness, infections, nutrition, smoking, diabetes and patient preferences. There is a vast choice of mesh (fabric) used in the modern era of hernia surgery. These can be non-absorbable (meaning that it would stay there permanently), partially absorbable or fully absorbable. Some of these are designed to be located on different layers of the body. Some meshes are designed to be in contact with bowel. Some should not be placed in contact with bowel. This area is complex and ever changing and it is best that you discuss this with your surgeon.

Other factors to consider include the very small risk of bleeding, infection of prosthesis and not infrequently, seroma. A seroma is a cavity filled by fluid, in place of the space previously occupied by the hernia. Sometimes, the body reabsorbs all this fluid. Sometimes the body seals it (encases) and leaves the patient feeling a lump. The lump itself is not a hernia as the mechanical defect has been corrected.