Inguinal hernias
Inguinal Hernia Repair and Treatment
Specialist assessment and personalised treatment for inguinal hernias in Manchester, including open and keyhole repair options.
Overview
Understanding inguinal hernias
An inguinal hernia is a bulge in the lower abdomen or groin caused by tissue pushing through a weakness in the abdominal wall. It is the most common type of groin hernia and can cause discomfort, a dragging sensation or a visible swelling.
When to seek urgent help
A hernia that becomes very painful, hard, cannot be pushed back, or is associated with vomiting or abdominal swelling may be incarcerated or strangulated and needs urgent medical assessment.
What is an inguinal hernia?
An inguinal hernia develops in the groin and may contain fat or bowel. In men, it can sometimes extend into the scrotum.
Who gets inguinal hernias?
Inguinal hernias are more common in men. Risk factors can include heavy lifting, chronic cough, constipation, difficulty passing urine, weight gain, pregnancy and sporting activities that increase groin strain.
Inguinal hernia symptoms
Symptoms can include a groin lump, pain, burning, aching or a heavy dragging sensation. The lump may be more obvious when standing, coughing or exercising and may reduce when lying down.
Diagnosis
Diagnosis is usually made by clinical examination. Ultrasound or MRI may be considered if symptoms suggest a hernia but there is no obvious lump.
Open inguinal hernia repair
Open repair is performed through an incision in the groin. Mesh is commonly used to reinforce the weakness.
Keyhole inguinal hernia repair
Laparoscopic repair uses small incisions and places mesh behind the abdominal wall. It may be particularly useful for bilateral hernias or recurrent hernias after a previous open repair, depending on individual circumstances.
Recovery after inguinal hernia surgery
Most patients go home the same day. Gentle movement is encouraged early, while heavy lifting is restricted initially. Return to full activity depends on the operation, occupation and individual recovery.
Risks of surgery
Risks can include bruising, wound infection, recurrence, chronic groin pain, numbness and risks related to anaesthetic. Your surgeon will discuss the most appropriate repair for you.
Frequently asked questions
Inguinal hernia FAQs
Can an inguinal hernia become an emergency?
Yes. A painful, hard or irreducible hernia, particularly with vomiting or abdominal swelling, needs urgent assessment.
Should I choose open or keyhole inguinal hernia repair?
The best approach depends on factors such as hernia size, whether one or both sides are affected, previous surgery, general health and personal priorities.
Will an inguinal hernia belt cure the hernia?
No. A support belt may reduce discomfort temporarily in selected patients, but it does not repair the weakness in the abdominal wall.
When can I return to exercise after inguinal hernia repair?
Light walking usually starts early, but strenuous exercise and heavy lifting should wait until your surgeon advises it is safe.
What is the best treatment for an inguinal hernia?
Surgical repair is the only definitive treatment for an inguinal hernia. The most suitable open or keyhole approach depends on individual clinical factors.
Specialist care in Manchester
Book a consultation with Mr Christian Macutkiewicz
Arrange a private consultation at Spire Manchester Hospital to discuss your symptoms, diagnosis and treatment options.
Hernia Clinic Manchester 