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Evaluation and surgical repair of hernias with choice of open or laparoscopic technique depending on the type of hernia, the patient’s history and needs.
When to seek surgical evaluation
Swelling in the groin, umbilicus or old incision
Pain or weight that increases with standing/coughing/fatigue
Hernia that is growing or affecting daily life
Pain, hard swelling, vomiting or inability to reduce – urgent evaluation
What happens at the first appointment
Clinical examination and, where necessary, ultrasound or CT scan
Assessment of risk of strangulation and impact on daily life
Selection of technique and mesh when indicated
Recovery and return to work/exercise plan
Goal: not to make a hasty decision. Surgery is recommended when the expected benefit outweighs the risks and when alternatives have been evaluated.
Frequently Asked Questions
Do all hernias require surgery?
Not always immediately. The decision is based on symptoms, size, risk of complications, and patient profile.
Is the plexus always necessary?
Most adult reconstructions use a mesh, but the final choice is individualized.
