May 21, 2025 - By :

Is Surgery Always Required for Hernia?

Not all hernias require immediate surgery. Small, asymptomatic hernias may be monitored. However, hernias do not resolve on their own and tend to enlarge over time. Surgical repair is the only definitive treatment.

Indications for Surgery:
Persistent pain or discomfort

Increasing size of the hernia

Complications like incarceration or strangulation

Types of Hernia Surgery
As a GI surgeon, I offer both open and minimally invasive (laparoscopic or robotic) options depending on the case.

1. Open Hernia Repair:
The traditional approach involving a single incision over the hernia site. The protruding tissue is pushed back, and the weak area is reinforced with stitches and a mesh.

2. Laparoscopic Hernia Repair:
A minimally invasive approach using small incisions, a camera, and instruments. Recovery is quicker, and there is less post-operative pain and scarring.

3. Robotic-Assisted Surgery:
An advanced form of minimally invasive surgery offering more precision, especially for complex or recurrent hernias.

 

Post-Surgery Recovery

  • Most patients can go home the same or next day
  • Return to normal activities within 1-2 weeks (depending on the type of surgery)
  • Avoid heavy lifting or strenuous activity for a few weeks
  • Follow-up is essential to monitor healing and prevent recurrence

 

Can a Hernia Be Prevented?

While not all hernias can be prevented, you can reduce your risk with the following:

  • Maintain a healthy weight
  • Exercise to strengthen abdominal muscles
  • Avoid straining during bowel movements
  • Stop smoking (chronic cough weakens the abdominal wall)
  • Use proper lifting techniques

 

Conclusion

A hernia might seem like a minor inconvenience at first, but neglecting it can lead to complications. Early diagnosis and timely surgical management offer excellent outcomes and help restore your quality of life.

If you suspect a hernia or have been diagnosed with one, consult a nearest GI or laparoscopic surgeon for proper evaluation and guidance on treatment options.