Laparoscopic and open surgery are the two main techniques used to repair hernias. Both techniques are widely used, with the method selected based on specialist review, the type of hernia, previous surgical history and the individual patient.
Dr Harald Puhalla regularly consults with Gold Coast patients referred for hernia assessment and repair surgery, including inguinal, abdominal wall and recurrent hernias. Common questions during consultation include recovery time, surgical mesh, scarring, returning to work and the differences between laparoscopic and open hernia repair. This article explains these surgical techniques and what people can generally expect during specialist hernia assessment.
What Is Hernia Repair?
Hernia repair involves returning tissue to its normal position and strengthening the weak area in the abdominal wall.
Surgical mesh is commonly used during repair, although techniques can vary between hernia types and surgical findings. This mesh may be used to support the abdominal wall and lower the risk of the hernia returning.
What Is Laparoscopic Hernia Repair?
Laparoscopic hernia repair is also known as keyhole surgery. This minimally invasive hernia procedure may sometimes also use robotic-assisted technology.
Several small incisions are made in the abdomen, allowing a camera and specialised surgical instruments to repair the hernia internally.
Dr Harald Puhalla may discuss laparoscopic surgery for:
- Bilateral inguinal hernias
- Recurrent hernias
- Selected abdominal wall hernias
Potential advantages laparoscopic surgery may include when compared to open surgery:
- Smaller incisions and scars
- Earlier mobilisation or movement after surgery
- Reduced wound discomfort during recovery
- Quicker recovery period, though this may vary based on the individual
What Is Open Hernia Repair?
Open repair involves a single incision directly over the hernia site.
The weakened tissue is repaired through this incision and surgical mesh may also be used to reinforce the area.
Open hernia surgery is still widely performed and may be recommended if:
- The hernia is large in size
- Previous abdominal surgery affects laparoscopic access
- Location or anatomy makes open repair more suitable
Is One Technique Better Than the Other?
No single hernia repair technique suits every person.
Dr Harald Puhalla considers:
- Hernia type
- Hernia size
- Previous surgeries
- General health
- Anaesthetic considerations
Recovery After Hernia Surgery
Recovery time varies between people and also relates to the type of repair performed.
After laparoscopic repair, patients may be able to return to light activity sooner, although lifting restrictions still apply during recovery. Open hernia repair can involve more soreness around the incision during the recovery period.
Dr Harald Puhalla will discuss these things with you and advise on:
- returning to work
- driving after surgery
- lifting restrictions
- restarting exercise
- recovery expectations
Is Mesh Always Used?
Mesh is commonly used during hernia repair because it can reinforce the abdominal wall and lower recurrence risk, but not every repair is identical.
Mesh use is based on:
- Hernia location
- Hernia size
- Medical history
- Previous repairs
Mesh repair and surgical planning are discussed during consultation prior to surgery.
Can a Hernia Return After Surgery?
A hernia can return after a repair surgery, although technique may help reduce this risk.
Things linked with higher recurrence risk include:
- Smoking
- Heavy lifting too early after surgery
- Obesity
- Chronic coughing
Recovery instructions will be provided to you after surgery and are an important part of your hernia management.
FAQs About Hernia Surgery
Will I stay overnight after hernia surgery? +
Day surgery is common for hernia repair, though some people may require an overnight stay.
Will I need a general anaesthetic? +
Most laparoscopic hernia repairs are performed under general anaesthetic. Open hernia repair may involve general, local or spinal anaesthetic, depending on the hernia and surgical plan.
Is laparoscopic surgery always possible? +
No. Previous surgery, larger hernias or anatomy may mean open surgery is more suitable.
How long before I can return to work? +
Return to work timeframes vary between people, the type of work performed and the surgical technique used.
When can I drive again after hernia surgery? +
Driving can usually resume once pain is controlled, movement is comfortable and strong pain medication is no longer required. Dr Harald Puhalla will discuss this during follow-up after surgery.
Surgical Consultation for Hernia Repair
Specialist review helps determine which repair technique may suit the hernia and symptoms being experienced.
Dr Harald Puhalla reviews imaging, symptoms, medical history and examination findings before discussing surgical options.
Hernia Surgery on the Gold Coast
Dr Harald Puhalla performs hernia surgery for people across the Gold Coast, including laparoscopic and open hernia repair. Consultations include discussion about:
- Surgical techniques
- Recovery
- Mesh repair
- Recovery restrictions
- Possible risks and complications
GP Referral for Hernia Surgery
If you have a diagnosed hernia, increasing discomfort, or concerns about a lump in the groin or abdomen, your GP can arrange referral for surgical review.
Ask your GP for a referral to
Ask your GP for a referral to Dr Harald Puhalla if you notice a lump in the groin, abdomen or around a previous scar, especially if your discomfort is increasing.
Already have a referral?
References
Queensland Health. (2023). Hernia repair. Clinical Prioritisation Criteria. https://www.health.qld.gov.au/cpc/general-surgery/hernia-repair
Cleveland Clinic. (2023, September). Hernia Surgery. Cleveland Clinic. https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery
Australia, H. (2022, October 14). Open incisional hernia repair. Www.healthdirect.gov.au. https://www.healthdirect.gov.au/surgery/open-incisional-hernia-repair
Dr Harald Puhalla (MED0000976858) MD FRACS is a Specialist Bariatric and General Surgeon. This article provides general information only and is not intended to replace professional medical advice. All surgery carries risks and individual results may vary. Healthcare decisions should always be made in consultation with a qualified medical professional.
