Many inguinal hernias can be repaired laparoscopically however not all hernias are suitable for this approach. Reasons may include hernia size, a hernia that cannot be completely reduced with pressure or lying flat, previous surgery and abdominal contour. The best approach for your hernia will be discussed with you at your consultation.

Laparoscopic hernia repair involves approaching the hernia from behind using keyhole surgery with 3 small incisions. The sac of the hernia and its contents (bowel or fat) are returned to the abdominal cavity. The hole in the abdominal wall is repaired with mesh which may be secured in place with absorbable tacks or glue.

Serious complications of inguinal hernia repair are uncommon. Complications include:

• Bleeding
• Difficulty passing urine initially (urinary retention)
• Persistent (chronic) pain that does not go away
• Wound infection
• Mesh infection
• Injury to the blood supply to the testicle
• Bowel injury
• Adhesions of bowel to mesh leading to bowel erosion or obstruction

All hernias can recur even with a good repair and if you do all the right things after surgery. About 10% of inguinal hernias recur. The risk of recurrence can be reduced by:

• Losing weight if you are overweight
• Avoiding very heavy lifting
• Avoiding straining with bowel or bladder movements (treating constipation and symptomatic prostate enlargement)

Laparoscopic inguinal hernia repairs usually require a single overnight stay after surgery. Recovery can be variable. Some patients have minimal pain and feel ready to return to normal activities quite quickly while others can have persistent soreness for a longer period and take longer to return to normal physical activity. Even if you are feeling great it is important to follow your postoperative instructions, particularly limits to lifting, as the repair needs time to develop strength.