Laparoscopic hernia surgery: what to expect

A hernia is a great source of discomfort and potential complications. Laparoscopic hernia repair is a minimally invasive surgical technique used to fix hernias, offering many benefits over traditional open surgery.

We speak to a revered consultant surgeon who discusses when laparoscopic surgery might be needed, how it's performed, and what you can expect from the procedure and recovery process.

When is laparoscopic hernia repair necessary?

Hernias occur when an organ or tissue pushes through a weak spot in the muscle or connective tissue, often leading to discomfort or pain. If left untreated, hernias can cause complications like strangulation, where blood supply to the trapped tissue is cut off, requiring emergency surgery. Laparoscopic hernia repair may be recommended to relieve symptoms, fix the defect, and prevent future complications.

Your doctor may suggest surgery if the hernia causes pain, grows in size, or presents a risk of complications. Factors like the type, size, and location of the hernia, along with your symptoms and general health, will determine the need for surgical repair.

How is laparoscopic hernia surgery done?

In laparoscopic hernia surgery, small incisions are made in the abdominal wall. A thin, flexible tube with a camera (laparoscope) is inserted through one incision, allowing the surgeon to view the hernia and surrounding tissue on a monitor. Other surgical instruments are introduced through the remaining incisions to perform the repair.

To strengthen the weakened area and prevent recurrence, a synthetic mesh is often placed over the hernia site. The minimally invasive nature of this surgery means less trauma to the body, smaller scars, and faster recovery times compared to traditional open surgery, which involves a larger incision.

How does laparoscopic surgery compare to open surgery?

Laparoscopic surgery offers several benefits over the open approach. Because of the smaller incisions, patients often experience less pain following surgery and a reduced risk of wound infection. Recovery tends to be quicker, allowing you to return to regular activities sooner. The cosmetic result is also generally better, as the scars are much smaller and less visible.

Not every hernia is suited for laparoscopic repair. The size, location, and type of hernia, as well as whether it has recurred after previous surgery, will influence the decision. Additionally, factors like your overall health and any previous abdominal surgeries will be considered before choosing the best surgical method.

What should you expect after surgery?

After laparoscopic hernia repair, most patients can return home the same day or within 24 hours, depending on individual circumstances and the complexity of the surgery. You may experience some discomfort, bruising, and swelling around the incision sites, which typically subside within a week.

Your doctor will provide specific instructions on pain management and how to care for the incisions. Light activities can usually be resumed within a week, while more strenuous exercise and heavy lifting should be avoided for four to six weeks to ensure proper healing.