M.S. F.R.C.S.
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Inguinal Hernia

An inguinal hernia is a protrusion of a loop of intestine into the groin or scrotum through a defect in the lower abdominal wall. It is common in baby boys and older men and relatively uncommon in women. It produces a soft lump in the groin or scrotum, which can usually be pushed back into the abdomen. It usually occurs on on one side but can occur on both sides either at the same time or at different times. The lump can vary in size from a 'golf ball' to a 'grapefruit' and sometimes even bigger.

The risks of not repairing the hernia include continuing discomfort, increase in size of the hernia, obstruction and strangulation. The latter two complications are serious and can result in peritonitis and death.

Our aim is to successfully treat your hernia using the most effective modern techniques, with the minimum of discomfort and the best cosmetic result.

Options include:

  • Do nothing. This is usually because of extreme frailty associated with a very large hernia. Most hernias will require to be repaired surgically.
  • An open repair, either under local or general anaesthetic.
  • A laproscopic or 'keyhole' repair. My current policy is to offer laparoscopic repairs to those patients who have bilateral or recurrent inguinal heniae. The advantages in terms of early mobility, fewer complications and less pain are significantly in favour of the keyhole method.