Inguinal Hernia
An inguinal hernia occurs when tissue protrudes through a weak spot in the groin. It's the most common type of hernia, especially in men. Laparoscopic mesh repair offers a lasting solution.
Overview
The inguinal canal is a passage in the lower abdominal wall through which blood vessels and (in men) the spermatic cord pass. When the abdominal wall weakens, fatty tissue or a loop of intestine can push through, creating a visible bulge in the groin area.
Our laparoscopic TEP/TAPP approach accesses the hernia from behind the muscle wall, placing a mesh that reinforces the defect. Patients experience less post-operative pain, faster recovery, and a lower recurrence rate compared to traditional open repair.
Causes
- Congenital weakness of the abdominal wall
- Heavy lifting or strenuous physical activity
- Chronic coughing (COPD, smoking)
- Straining during urination or bowel movements
- Pregnancy and childbirth
- Obesity or sudden weight gain
Symptoms
- Bulge on one or both sides of the groin
- Pain or burning sensation in the groin, especially when lifting
- Heaviness or dragging sensation in the groin
- Swelling around the testicles (if the hernia descends into the scrotum)
- Sudden severe pain and nausea (if incarcerated/strangulated)
Diagnosis
- Physical examination — doctor feels for a bulge while patient stands and coughs
- Ultrasound — helps differentiate from hydrocele, lymph nodes, or undescended testicle
- CT scan — for complex or recurrent cases
Treatment Options
Laparoscopic TEP (Totally Extraperitoneal)
Mesh placed behind the abdominal wall without entering the abdominal cavity. Fastest recovery.
Laparoscopic TAPP (Transabdominal Preperitoneal)
Similar to TEP but goes through the abdominal cavity. Used for larger or bilateral hernias.
Open Lichtenstein repair
Traditional approach through a groin incision. Still widely used for certain cases.
Frequently Asked Questions
Is laparoscopic better than open repair?
Laparoscopic repair generally causes less post-op pain, has a faster return to work, and lower chronic pain rates. It's ideal for bilateral and recurrent hernias.
Can I exercise after hernia surgery?
Light walking starts immediately. Avoid heavy lifting and gym workouts for 4-6 weeks. Your surgeon will give you a personalised timeline.
Ready to Discuss Your Treatment?
Our inguinal hernia specialists in Kondapur are here to help. Most consultations available within 24 hours.