From the Research
Surgical repair is indicated for an inguinal hernia when it causes symptoms such as pain or discomfort, when it becomes incarcerated or strangulated, or when it significantly impacts quality of life, as evidenced by the most recent study 1.
Indications for Surgical Repair
The decision to perform surgical repair for an inguinal hernia depends on various factors, including the presence of symptoms, the risk of complications, and the patient's overall health status.
- Asymptomatic hernias in adults may be managed with watchful waiting, but prompt surgical intervention is necessary for any signs of incarceration or strangulation, which constitute surgical emergencies 1.
- Children with inguinal hernias typically require repair regardless of symptoms due to the higher risk of incarceration.
Surgical Approaches
The two main surgical approaches are:
- Open repair using mesh reinforcement (Lichtenstein technique)
- Laparoscopic repair, with the choice depending on patient factors, hernia characteristics, and surgeon expertise 2, 3.
Recovery and Outcomes
Recovery typically requires 1-2 weeks for desk jobs and 4-6 weeks for physical labor, with lifting restrictions (nothing heavier than 10-15 pounds) during this period 4, 5.
Justification for Surgical Repair
Surgical repair is justified because it prevents potentially dangerous complications and provides definitive treatment, as inguinal hernias do not resolve spontaneously and tend to enlarge over time 1.