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GI and Laparoscopic

Inguinal Hernia


Inguinal Hernia Treatment in Hyderabad

Inguinal hernia treatment typically involves surgical repair, where the protruding tissue is pushed back into place and the weakened area of the abdominal wall is reinforced with mesh or sutures.

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Dr Krishna Chaitanya
Dr. Krishna Chaitanya
(Fellowship in Minimal Access Surgery)
GI and Laparoscopic Surgeon
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---- Overview ----

Inguinal Hernia

An inguinal hernia occurs when soft tissue, usually part of the intestine, protrudes through a weak spot in the abdominal wall near the groin. It can cause a bulge, discomfort, or pain, especially during physical activity. Inguinal hernias are typically treated through surgical repair, where the protruding tissue is pushed back into place, and the weakened area of the abdominal wall is reinforced with mesh or sutures. Surgery is usually recommended to prevent complications and relieve symptoms.

what are the causes of Inguinal Hernia?

The causes of inguinal hernias can vary, but they generally result from a combination of muscle weakness and increased pressure in the abdominal area. Some common causes include:

  • Weakness in the abdominal wall: Certain individuals are born with a naturally weak abdominal wall, making them more prone to hernias.
  • Aging: As people age, their muscles and tissues naturally weaken, increasing the risk of hernias.
  • Heavy lifting or straining: Activities that involve frequent or excessive lifting, straining during bowel movements, or persistent coughing can strain the abdominal muscles and contribute to hernias.
  • Chronic conditions: Conditions that cause persistent coughing or put pressure on the abdomen, such as chronic obstructive pulmonary disease (COPD) or obesity, can increase the likelihood of hernias.
  • Pregnancy: The pressure exerted on the abdominal wall during pregnancy can lead to the development of hernias, particularly in women.

Pregnancy: The pressure exerted on the abdominal wall during pregnancy can lead to the development of hernias, particularly in women.


what are the Symptoms of Inguinal Hernia?

The symptoms of an inguinal hernia can vary depending on the severity and size of the hernia. Common symptoms include:

  • Bulge or lump: The most noticeable symptom is a bulge or swelling in the groin area or scrotum. The bulge may be more prominent when standing, coughing, or straining and may disappear when lying down.
  • Pain or discomfort: You may experience pain or discomfort in the groin area, especially when bending, lifting, or coughing. The pain may range from mild to severe.
  • Weakness or pressure: A feeling of weakness, pressure, or heaviness in the groin area may be present.
  • Burning or aching sensation: Some individuals with inguinal hernias may experience a burning or aching sensation around the bulge.
  • Groin discomfort: Discomfort or a dragging sensation in the groin area, especially after physical activity, can be a symptom.

It's important to note that not all inguinal hernias cause symptoms. Some may be asymptomatic and only discovered during a routine physical examination. If you suspect you have an inguinal hernia or are experiencing any of these symptoms, it is recommended to consult a healthcare professional for a proper diagnosis.


what are the Investigations of Inguinal Hernia?

The investigations for inguinal hernias typically involve a combination of physical examination and imaging studies. Here are the common investigations used:

  • Physical examination: A healthcare professional will perform a thorough physical examination, which may involve checking for a visible or palpable bulge in the groin area. They may ask you to cough or strain during the examination to assess the hernia's size and the presence of any associated symptoms.
  • Ultrasound: Ultrasound imaging is commonly used to confirm the diagnosis of an inguinal hernia. It can help visualize the hernia, assess its size, and determine if any organs or structures are trapped within the hernia sac.
  • CT scan: In some cases, a computed tomography (CT) scan may be ordered to provide more detailed images of the inguinal region. CT scans can help identify the location, size, and extent of the hernia, as well as detect any complications or associated conditions.
  • MRI: Magnetic resonance imaging (MRI) may be used to evaluate inguinal hernias, especially in cases where the diagnosis is uncertain or to assess for complex or recurrent hernias. MRI can provide detailed images of the soft tissues and help identify any additional abnormalities.

These investigations help healthcare professionals determine the presence, type, size, and characteristics of an inguinal hernia, which in turn aid in planning appropriate treatment options. The specific investigations recommended may vary depending on individual circumstances and clinical judgment.


what are the treatment options for Inguinal Hernia?

The treatment options for inguinal hernias typically involve surgical repair. There are two main approaches to surgical treatment:

  • Open Hernia Repair: This traditional method involves making an incision directly over the hernia. The protruding tissue is pushed back into place, and the weakened area of the abdominal wall is reinforced using sutures or a synthetic mesh. The incision is then closed with stitches or surgical staples.
  • Laparoscopic Hernia Repair: In this minimally invasive procedure, small incisions are made near the hernia site. A laparoscope, a thin tube with a camera, is inserted to provide visualization. Surgical instruments are used to repair the hernia from within the abdomen. Mesh is often used to reinforce the weakened area. The incisions are then closed with sutures or surgical glue.

The choice of surgical approach depends on various factors, such as the size and type of hernia, the surgeon's expertise, and the patient's overall health. Laparoscopic repair may offer advantages such as shorter recovery time, less post-operative pain, and smaller scars, but it may not be suitable for all cases.

In some cases, watchful waiting or non-surgical management may be considered for small, asymptomatic hernias that do not cause significant discomfort. However, surgery is typically recommended for most inguinal hernias to prevent complications and relieve symptoms.

It's important to consult with a healthcare professional or a specialist, such as a general surgeon, to determine the most appropriate treatment option based on individual circumstances.

---- FAQs ----

Inguinal Hernia

No, inguinal hernias do not resolve on their own. They are caused by a weakness in the abdominal wall, and the protruding tissue needs surgical repair to be pushed back into place and reinforce the weakened area. Watchful waiting is generally not recommended, as the hernia can potentially become larger and more prone to complications over time.

It is generally not recommended to engage in strenuous physical activity or exercises that put significant strain on the abdominal muscles if you have an inguinal hernia. Such activities can worsen the hernia, increase the risk of complications, and cause discomfort or pain. It's important to consult with a healthcare professional who can provide guidance on appropriate exercises and limitations based on your specific case.

Recurrence of an inguinal hernia after surgical repair is possible but relatively uncommon. The use of mesh during the surgical procedure significantly reduces the risk of recurrence. However, there is still a small chance that the hernia can reoccur due to factors like the type of hernia, surgical technique, individual healing process, or activities that put strain on the abdominal muscles. It's essential to follow post-operative instructions, avoid heavy lifting or straining, and promptly report any recurring symptoms to your healthcare provider.

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