Open Hernia Repair

What does an inguinal hernia repair involve?

Hernias can be repaired through keyhole or open surgery; in this case, open surgery is recommended.

Depending on the type of hernia the surgery takes about 45 to 90 minutes, and antibiotics may be given to prevent infection. The surgeon will make a cut in the area of the hernia (groin or front of the abdomen / bellybutton), remove or place the hernia sac back inside, strengthen the muscle with stitches, and often insert a synthetic mesh.

What are the potential risks or complications of the procedure?

General Surgical Complications:

  • Bleeding during or after the procedure, rarely requiring a blood transfusion.
  • Infection at the wound site, treatable with antibiotics but sometimes requiring special dressings.
  • Venous thromboembolism (VTE) – Blood clots in the leg (DVT) or lungs (pulmonary embolism), which can be serious.
  • Chest infections, particularly in smokers or those recovering from COVID-19.
  • Allergic reactions to medications, materials, or dyes (rare but possible).

Possible Complications:

  • Fluid build-up (seroma) – Usually settles with time but occasionally needs removing by needle.
  • Bowel injury – Very rare but may need another procedure if bowel involved.
  • Mesh infection – Rare but chronic or significant infection of mesh can only be treated by surgical removal of the mesh.
  • Pain and unsightly scarring can also occur.
  • Hernia recurrence – Although unusual, hernias can recur, often years after surgery.  Recurrent hernias only need further surgery if giving significant symptoms.
  • Groin / inguinal hernias – There are specific risks because of the position in the groin:
    • Urine retention: May require a temporary catheter; more likely with spinal anaesthesia.
    • Temporary leg weakness: Caused by local anaesthetic; typically resolves in 1–2 days.
    • Chronic groin pain/discomfort: Sometimes severe and requiring additional treatment.
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Recovery in Hospital

You’ll be monitored until you’re ready to go home. Most patients can go home the same day or after a short stay.

Returning to Normal Activities

  • If sedated or had general anaesthetic you’ll need someone to take you home and stay with you for 24 hours.
  • Avoid driving, drinking alcohol, signing legal papers, or doing dangerous tasks for 24 hours post-surgery.
  • Gradually increase walking. You may return to work after 1–2 weeks, depending on the surgery and job type.
  • Avoid heavy lifting for at least 6 weeks.
  • Resume driving only when you can do so safely and without pain.

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