Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,

Inguinal Hernia Surgery

Celebrities who have suffered from Hernia

Amitabh Bachchan

In 2012, legendary actor Amitabh Bachchan underwent hernia surgery after visiting the hosiptal due to abdominal pain. According to sources, he was operated upon for bilateral inguinal hernia. (Source)

Dwayne Johnson

In an interview, the actor revealed that due to a wrestling injury from a match in 2013 against John Cena, he had to undergo a triple hernia surgery and hence can no longer workout to have six-pack abs. (Source) 

Denise Richards

Back in 2019, Denise Richards revealed to her followers on social media how she quietly underwent an emergency procedure for four hernias. Re-posting a slideshow shared by her husband, Aaron Phypers, Richards opened up about realizing she should get help rather than continue to try to power through. (Source) 

Amazing Facts About Inguinal Hernia

  • Common Occurrence: Inguinal hernias are the most common type of hernias, accounting for approximately 75% of all abdominal hernias. They occur when soft tissue, usually a portion of the intestine, protrudes through a weak point or tear in the lower abdominal wall. (Source)
  • Gender Difference: Inguinal hernias are more common in men than women. This is because men have a natural weak spot in the lower abdominal wall called the inguinal canal, which allows the testicles to descend into the scrotum during fetal development. Inguinal hernias can develop when there is a weakness or gap in this area. (Source)
  • Surgical Repair: The most common treatment for inguinal hernias is surgical repair. The surgical procedure involves pushing the protruding tissue back into the abdomen and reinforcing the weakened abdominal wall with sutures or a synthetic mesh. Laparoscopic or open surgery techniques can be used, depending on the individual case. (Source)

4 Reasons for Early Treatment of Inguinal Hernia

  1. Prevent Complications: Early treatment of inguinal hernias can help prevent complications such as incarceration and strangulation, where the hernia becomes trapped or twisted, leading to restricted blood flow and potential tissue damage.
  2. Alleviate Discomfort: Inguinal hernias can cause pain and discomfort, especially when the hernia becomes larger or gets trapped. Early treatment can help relieve the discomfort associated with the hernia.
  3. Restore Normal Function: Treatment of inguinal hernias can restore the normal function of the abdominal muscles, allowing individuals to engage in physical activities without restrictions.
  4. Address Cosmetic Concerns: Some individuals may be self-conscious about the appearance of an inguinal hernia. Early treatment can address the cosmetic concerns associated with the hernia, improving self-confidence and body image.

Complications of Untreated Inguinal Hernia

  1. Incarceration: If an inguinal hernia is left untreated, there is a risk of the hernia becoming incarcerated, meaning that the hernia contents become trapped and cannot be pushed back into the abdominal cavity. This can lead to severe pain and discomfort.
  2. Strangulation: In some cases, an untreated inguinal hernia can progress to strangulation, where the blood supply to the hernia contents is cut off. Strangulation can cause severe pain, tissue damage, and infection. It is a medical emergency that requires immediate surgical intervention.
  3. Obstruction: An untreated inguinal hernia can lead to bowel obstruction, where the hernia sac compresses or blocks the intestines. This can cause symptoms such as severe abdominal pain, nausea, vomiting, and inability to pass stool or gas.
  4. Inguinal hernia complications: Untreated inguinal hernias can lead to the development of complications such as hernia enlargement, hernia incarceration, and the formation of hernia-related complications such as hernia strangulation, intestinal obstruction, or bowel perforation. These complications can be serious and require surgical intervention to resolve.

What is Inguinal Hernia?

An inguinal hernia occurs when a portion of the intestine or fatty tissue protrudes through a weak spot in the groin or inguinal region. This type of hernia is more common in men and may cause a visible bulge or swelling in the groin area.

Risk Factors to develop Inguinal Hernia

  1. Gender: Inguinal hernias are more common in males. This is due to the natural weakness in the inguinal canal that allows the testicles to descend into the scrotum during fetal development. In females, the inguinal canal is smaller and typically remains closed.
  2. Age: The risk of developing an inguinal hernia increases with age. The weakening of the abdominal muscles and connective tissues over time can make the hernia more likely to occur.
  3. Family history: Having a family history of inguinal hernias may increase the risk. There may be a genetic predisposition to weakened abdominal muscles or connective tissues.
  4. Chronic cough or constipation: Conditions that cause chronic coughing, such as chronic obstructive pulmonary disease (COPD) or persistent constipation, can strain the abdominal muscles and increase the risk of developing an inguinal hernia.
  5. Obesity: Excess weight and obesity can put increased pressure on the abdominal muscles, making them more prone to hernias.
  6. Heavy lifting or straining: Engaging in activities that involve heavy lifting or repetitive straining can put stress on the abdominal muscles and increase the risk of developing an inguinal hernia.
  7. Pregnancy: The increased pressure on the abdominal muscles during pregnancy can contribute to the development of an inguinal hernia, particularly in women who have multiple pregnancies.

Symptoms of Inguinal Hernia

Symptoms of an inguinal hernia may include-
  • A bulge or swelling in the groin or scrotum, 
  • Pain or discomfort during physical activities or lifting, 
  • Aching or dragging sensation in the groin, and
  • A feeling of weakness or pressure in the groin. 
If you experience persistent symptoms or notice changes in the size or color of the hernia, it is important to consult a doctor for a proper evaluation.

Diagnosis of Inguinal Hernia

Diagnosing an inguinal hernia typically involves a combination of a physical examination and, in some cases, additional imaging tests. The following steps are commonly involved in the diagnosis of an inguinal hernia:
  1. Medical History: The doctor will begin by asking about the patient’s medical history, including any symptoms experienced and any previous hernias or surgeries.
  2. Physical Examination: The doctor will perform a physical examination to assess the groin area where the hernia is suspected. They will visually inspect the area and may gently press on the groin to feel for any bulging or protrusion. The examination helps determine the size, location, and characteristics of the hernia.
  3. Cough Test: The doctor may ask the patient to cough or strain during the examination. This can help reveal any visible or palpable changes in the hernia, as coughing or straining increases intra-abdominal pressure, making the hernia more apparent.
  4. Ultrasound: In some cases, particularly when the hernia is not readily visible or there is uncertainty about the diagnosis, an ultrasound may be recommended. Ultrasound imaging can provide detailed images of the groin area, allowing the doctor to confirm the presence of a hernia, determine its size and location, and assess any complications or abnormalities.
In most cases, a diagnosis of inguinal hernia can be made based on a physical examination. However, additional tests like ultrasound may be ordered to provide further information or clarify the diagnosis.

Treatment of Inguinal Hernia

The treatment of inguinal hernias typically involves surgical repair to strengthen the weakened abdominal muscles and close the hernia defect. Laparoscopic surgery, also known as minimally invasive or keyhole surgery, has become the preferred approach for inguinal hernia repair due to its numerous advantages.

Laparoscopic Inguinal Hernia Surgery

During laparoscopic inguinal hernia surgery, several small incisions are made near the hernia site. A laparoscope, which is a thin tube with a camera, is inserted through one of the incisions, allowing the surgeon to visualize the hernia on a monitor. Specialized instruments are then used to place a mesh over the hernia defect and secure it in place. The procedure is performed under general anesthesia.

Benefits of Laparoscopic Inguinal Hernia Surgery

  1. Minimally invasive: Laparoscopic surgery involves smaller incisions, resulting in less scarring and reduced postoperative pain.
  2. Faster recovery: Patients who undergo laparoscopic surgery for inguinal hernias generally experience a quicker recovery time compared to open surgery.
  3. Reduced risk of complications: Laparoscopic procedures have a lower risk of infection, wound complications, and hernia recurrence compared to open surgery.
  4. Improved cosmetic outcome: The smaller incisions used in laparoscopic surgery result in less visible scarring and better cosmetic results.

Preparation for Inguinal Hernia Surgery

Preparation for inguinal hernia surgery typically involves the following steps:
  1. Consultation with a Surgeon: The first step is to schedule a consultation with a surgeon who specializes in hernia repair. During this consultation, the surgeon will evaluate the hernia, review your medical history, and discuss the surgical options available to you.
  2. Medical Evaluation: Prior to the surgery, your surgeon may request certain medical evaluations to assess your overall health. This may include blood tests, imaging studies (such as an ultrasound or CT scan), and an electrocardiogram (ECG) to evaluate your heart function.
  3. Medication Review: It is important to inform your surgeon about any medications you are currently taking, including prescription medications, over-the-counter drugs, and supplements. Your surgeon may provide specific instructions regarding which medications to continue or discontinue before the surgery.
  4. Fasting: You will be instructed to fast for a certain period of time before the surgery. This is typically about 8 hours for solid food and 2 hours for clear liquids. Fasting helps to minimize the risk of complications during the procedure.
  5. Anesthesia Consultation: If general anesthesia or sedation will be used during the surgery, you may need to schedule a separate consultation with an anesthesiologist. The anesthesiologist will review your medical history and discuss the anesthesia options available to you.
  6. Lifestyle Adjustments: Your surgeon may recommend certain lifestyle adjustments leading up to the surgery. This may include quitting smoking, maintaining a healthy weight, and engaging in regular physical activity to optimize your overall health and reduce the risk of complications.
  7. Preoperative Instructions: Your surgeon will provide you with specific preoperative instructions to follow. This may include guidelines on when to stop eating and drinking before the surgery, instructions on showering with antibacterial soap, and information about any required bowel preparation.
  8. Support and Assistance: It is important to arrange for a family member or friend to accompany you to the surgery and help you with transportation and postoperative care.
It is important to carefully follow all the instructions provided by your surgeon to ensure a successful surgery and smooth recovery. If you have any questions or concerns, be sure to discuss them with your healthcare team.

Anaesthesia for Inguinal Hernia Surgery

During hernia surgery, anesthesia is administered to ensure the patient’s comfort and safety throughout the procedure. The type of anesthesia used will depend on various factors, including the type and location of the hernia, the extent of the surgery, the patient’s overall health, and the surgeon’s preference. The two main types of anesthesia commonly used for hernia surgery are general anesthesia and local anesthesia with sedation.
  1. General Anesthesia: In general anesthesia, the patient is completely unconscious and unaware during the surgery. It is administered by an anesthesiologist through intravenous medications and inhaled gases. General anesthesia allows for complete relaxation of the patient’s muscles, ensuring optimal surgical conditions. The patient is closely monitored throughout the procedure to maintain vital signs and ensure safety.
  2. Local Anesthesia with Sedation: In some cases, hernia surgery may be performed under local anesthesia with the addition of sedation. Local anesthesia involves injecting a numbing medication into the surgical area to block pain sensation. Sedation is administered through intravenous medications to help the patient relax and remain comfortable during the procedure. With this type of anesthesia, the patient is usually awake but feels drowsy and relaxed.
The choice of anesthesia depends on various factors, including the type and complexity of the hernia, the patient’s medical condition, and the surgeon’s recommendation. The anesthesiologist will evaluate the patient’s medical history, perform a physical examination, and consider any specific risks or concerns before determining the most suitable anesthesia approach.It is important for patients to discuss their medical history, allergies, and any concerns or fears related to anesthesia with their healthcare team. The anesthesiologist will explain the anesthesia plan, discuss potential risks and side effects, and address any questions or concerns. Patient safety and comfort are the top priorities during hernia surgery, and the anesthesia team will closely monitor the patient’s vital signs and adjust the anesthesia as needed throughout the procedure.

Recovery after Inguinal Hernia Surgery

Recovering from inguinal hernia surgery requires proper care and adherence to post-operative guidelines. While the recovery process may vary for each individual, here are some general considerations to keep in mind:
  1. Hospital Stay: Inguinal hernia surgeries are commonly performed as outpatient procedures, meaning you can usually go home on the same day. However, in some cases, an overnight hospital stay may be necessary, especially if the surgery was extensive or if there are any complications.
  2. Pain Management: It is normal to experience some pain or discomfort at the surgical site after the procedure. Your doctor will prescribe pain medications to help manage post-operative pain. Take the medications as instructed and report any severe or worsening pain to your healthcare provider.
  3. Incision Care: Proper care of the surgical incision is important for preventing infection and promoting healing. Keep the incision area clean and dry, following your surgeon’s instructions. You may need to change the dressing regularly or apply any recommended ointments. Avoid soaking in baths or swimming until your healthcare provider gives you the go-ahead.
  4. Physical Activity: During the initial recovery period, it is crucial to limit physical activity and avoid strenuous activities that may strain the surgical site. Your surgeon will provide guidance on when you can resume regular activities and exercise. Walking is often encouraged to promote blood circulation and prevent blood clots, but avoid heavy lifting or intense workouts until cleared by your healthcare provider.
  5. Diet and Nutrition: Follow any dietary instructions provided by your surgeon or dietitian. It is common to start with a liquid or soft diet initially and gradually transition back to a regular diet as tolerated. Stay hydrated and consume fiber-rich foods to prevent constipation, which can be a common side effect of surgery and pain medications.
  6. Follow-up Appointments: Attend all scheduled follow-up appointments with your surgeon. These visits allow your surgeon to monitor your healing progress, remove any stitches or staples if necessary, and address any concerns or complications that may arise.
  7. Signs of Complications: Be vigilant for any signs or symptoms that may indicate complications, such as excessive bleeding, severe pain, redness, swelling, pus or discharge from the incision site, fever, or difficulty passing urine or stools. If you experience any of these symptoms, contact your healthcare provider immediately.
Each person’s recovery may vary, and it is important to follow your surgeon’s specific instructions for a successful recovery. By taking care of yourself, following post-operative guidelines, and seeking medical attention if needed, you can support a smooth and healthy recovery after inguinal hernia surgery.

Risks and side effects of Inguinal Hernia Surgery

  1. Risk of complications: Although laparoscopic surgery is generally safe, there is a small risk of complications such as infection, bleeding, or injury to surrounding tissues.
  2. Recurrence of the hernia: While laparoscopic surgery has a low recurrence rate, there is still a possibility of the hernia recurring in some cases.
  3. Postoperative discomfort: Some patients may experience mild discomfort or swelling after the surgery, which can typically be managed with pain medication and a proper recovery plan.

80 years old, heart patient. Nevertheless, a ruptured gall bladder was successfully treated with binoculars.

Celebrities who have suffered from Hernia

Amitabh Bachchan

In 2012, legendary actor Amitabh Bachchan underwent hernia surgery after visiting the hosiptal due to abdominal pain. According to sources, he was operated upon for bilateral inguinal hernia.

Dwayne Johnson

In an interview, the actor revealed that due to a wrestling injury from a match in 2013 against John Cena, he had to undergo a triple hernia surgery and hence can no longer workout to have six-pack abs.

Denise Richards

Back in 2019, Denise Richards revealed to her followers on social media how she quietly underwent an emergency procedure for four hernias. Re-posting a slideshow shared by her husband, Aaron Phypers, Richards opened up about realizing she should get help rather than continue to try to power through.

Amazing Facts About Inguinal Hernia

 Inguinal hernias are the most common type of hernias, accounting for approximately 75% of all abdominal hernias. They occur when soft tissue, usually a portion of the intestine, protrudes through a weak point or tear in the lower abdominal wall. (Source

Inguinal hernias are more common in men than women. This is because men have a natural weak spot in the lower abdominal wall called the inguinal canal, which allows the testicles to descend into the scrotum during fetal development. Inguinal hernias can develop when there is a weakness or gap in this area. (Source

The most common treatment for inguinal hernias is surgical repair. The surgical procedure involves pushing the protruding tissue back into the abdomen and reinforcing the weakened abdominal wall with sutures or a synthetic mesh. Laparoscopic or open surgery techniques can be used, depending on the individual case. (Source)

4 Reasons for Early Treatment of Inguinal Hernia

Complications of Untreated Inguinal Hernia

What is Inguinal Hernia?

An inguinal hernia occurs when a portion of the intestine or fatty tissue protrudes through a weak spot in the groin or inguinal region. This type of hernia is more common in men and may cause a visible bulge or swelling in the groin area.

Risk Factors to develop Inguinal Hernia

  1. Gender: Inguinal hernias are more common in males. This is due to the natural weakness in the inguinal canal that allows the testicles to descend into the scrotum during fetal development. In females, the inguinal canal is smaller and typically remains closed.
  2. Age: The risk of developing an inguinal hernia increases with age. The weakening of the abdominal muscles and connective tissues over time can make the hernia more likely to occur.
  3. Family history: Having a family history of inguinal hernias may increase the risk. There may be a genetic predisposition to weakened abdominal muscles or connective tissues.
  4. Chronic cough or constipation: Conditions that cause chronic coughing, such as chronic obstructive pulmonary disease (COPD) or persistent constipation, can strain the abdominal muscles and increase the risk of developing an inguinal hernia.
  5. Obesity: Excess weight and obesity can put increased pressure on the abdominal muscles, making them more prone to hernias.
  6. Heavy lifting or straining: Engaging in activities that involve heavy lifting or repetitive straining can put stress on the abdominal muscles and increase the risk of developing an inguinal hernia.
  7. Pregnancy: The increased pressure on the abdominal muscles during pregnancy can contribute to the development of an inguinal hernia, particularly in women who have multiple pregnancies.

Symptoms of Inguinal Hernia

Symptoms of an inguinal hernia may include-

  • A bulge or swelling in the groin or scrotum, 
  • Pain or discomfort during physical activities or lifting, 
  • Aching or dragging sensation in the groin, and
  • A feeling of weakness or pressure in the groin. 

If you experience persistent symptoms or notice changes in the size or color of the hernia, it is important to consult a doctor for a proper evaluation.

Treatment of Inguinal Hernia

The treatment of inguinal hernias typically involves surgical repair to strengthen the weakened abdominal muscles and close the hernia defect. Laparoscopic surgery, also known as minimally invasive or keyhole surgery, has become the preferred approach for inguinal hernia repair due to its numerous advantages.

Diagnosis of Inguinal Hernia

Diagnosing an inguinal hernia typically involves a combination of a physical examination and, in some cases, additional imaging tests. The following steps are commonly involved in the diagnosis of an inguinal hernia:

  1. Medical History: The doctor will begin by asking about the patient’s medical history, including any symptoms experienced and any previous hernias or surgeries.
  2. Physical Examination: The doctor will perform a physical examination to assess the groin area where the hernia is suspected. They will visually inspect the area and may gently press on the groin to feel for any bulging or protrusion. The examination helps determine the size, location, and characteristics of the hernia.
  3. Cough Test: The doctor may ask the patient to cough or strain during the examination. This can help reveal any visible or palpable changes in the hernia, as coughing or straining increases intra-abdominal pressure, making the hernia more apparent.
  4. Ultrasound: In some cases, particularly when the hernia is not readily visible or there is uncertainty about the diagnosis, an ultrasound may be recommended. Ultrasound imaging can provide detailed images of the groin area, allowing the doctor to confirm the presence of a hernia, determine its size and location, and assess any complications or abnormalities.

In most cases, a diagnosis of inguinal hernia can be made based on a physical examination. However, additional tests like ultrasound may be ordered to provide further information or clarify the diagnosis.

Laparoscopic Inguinal Hernia Surgery

During laparoscopic inguinal hernia surgery, several small incisions are made near the hernia site. A laparoscope, which is a thin tube with a camera, is inserted through one of the incisions, allowing the surgeon to visualize the hernia on a monitor. Specialized instruments are then used to place a mesh over the hernia defect and secure it in place. The procedure is performed under general anesthesia.

Benefits of Laparoscopic Inguinal Hernia Surgery

Preparation for Inguinal Hernia Surgery

Preparation for inguinal hernia surgery typically involves the following steps:

It is important to carefully follow all the instructions provided by your surgeon to ensure a successful surgery and smooth recovery. If you have any questions or concerns, be sure to discuss them with your healthcare team.

Anaesthesia for Inguinal Hernia Surgery

During hernia surgery, anesthesia is administered to ensure the patient’s comfort and safety throughout the procedure. The type of anesthesia used will depend on various factors, including the type and location of the hernia, the extent of the surgery, the patient’s overall health, and the surgeon’s preference. The two main types of anesthesia commonly used for hernia surgery are general anesthesia and local anesthesia with sedation.

The choice of anesthesia depends on various factors, including the type and complexity of the hernia, the patient’s medical condition, and the surgeon’s recommendation. The anesthesiologist will evaluate the patient’s medical history, perform a physical examination, and consider any specific risks or concerns before determining the most suitable anesthesia approach.

It is important for patients to discuss their medical history, allergies, and any concerns or fears related to anesthesia with their healthcare team. The anesthesiologist will explain the anesthesia plan, discuss potential risks and side effects, and address any questions or concerns. Patient safety and comfort are the top priorities during hernia surgery, and the anesthesia team will closely monitor the patient’s vital signs and adjust the anesthesia as needed throughout the procedure.

Recovery after Inguinal Hernia Surgery

Recovering from inguinal hernia surgery requires proper care and adherence to post-operative guidelines. While the recovery process may vary for each individual, here are some general considerations to keep in mind:

Each person’s recovery may vary, and it is important to follow your surgeon’s specific instructions for a successful recovery. By taking care of yourself, following post-operative guidelines, and seeking medical attention if needed, you can support a smooth and healthy recovery after inguinal hernia surgery.

Risks and side effects of Inguinal Hernia Surgery

After undergoing an Endoscopic Ultrasound (EUS) procedure, there are certain post-procedural steps and care that you should follow. Here are some guidelines for what to do after an EUS:

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