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Laparoscopic Hernia Surgery

Have you been diagnosed with a hernia? Don’t let your condition get worse, and seek advanced Laparoscopic Hernia Surgery at Pristyn Care. We leverage modern, minimally invasive laparoscopic technology to repair hernia effectively. Book an appointment with us and consult the best hernia surgeons in India to plan the Laparoscopic Hernia Surgery.

Have you been diagnosed with a hernia? Don’t let your condition get worse, ... Read More

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    Dr. Sunil Gehlot (Rcx3qJQfjW)

    Dr. Sunil Gehlot

    MBBS, MS-General Surgery
    33 Yrs.Exp.

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    33 Years Experience

    location icon Near Tilak Nagar Tempo, Sanvid Nagar, Indore
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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

    MBBS, MS - General Surgery
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    26 Years Experience

    location icon Kimaya Clinic, One Place, Wanowrie, Pune
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    Dr. Shammy SS (a3wXfbuBgJ)

    Dr. Shammy SS

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    26 Years Experience

    location icon Thycadu Signal, Venjaramoodu, Thiruvananthapuram
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    Dr. Pravat Kumar Majumdar (Vx6AhE6uAv)

    Dr. Pravat Kumar Majumda...

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    26 Years Experience

    location icon A/84, Kharvel Nagar, Unit 3, Bhubaneswar
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About Hernia & Types of hernia surgery


A hernia occurs when the internal organs, tissues, muscles, or fat pushes through a weak spot in the abdominal muscle wall. Most hernias develop within the abdominal cavity, i.e., between the chest and hips. Hernias usually are not considered dangerous, but they tend to get bigger and lead to life-threatening complications.

It can occur in both males and females. Some common types of hernias are:

  • Inguinal Hernia: It is the most common type of hernia that appears in the groin region when a part or section of the intestine or bladder pushes through the abdominal wall or into the inguinal canal. This type of hernia mostly occurs in males.
  • Umbilical Hernia: In this type of hernia, the intestine protrudes through the weak abdominal muscles around the navel or belly button. It mostly develops in infants and often resolves within a year or so. Adult males and females can also develop this hernia.
  • Hiatal Hernia: A hiatal hernia develops when the opening in the diaphragm, where the esophagus passes through, widens, and the stomach pushes through this opening, creating a bulge in the chest.
  • Femoral Hernia: This type of hernia occurs when the internal organs or tissues push through the groin around the femoral artery present in the upper thigh region. A femoral hernia most develops in females.
  • Incisional Hernia: Also known as ventral hernia, an incisional hernia develops in the area of a previous surgical incision where the intestine or other organs push through the weak scar tissue in the abdominal wall.

Other types of hernia include epigastric hernia, spigelian hernia, congenital diaphragmatic hernia, perineal hernia, etc. Hernias often cause discomfort, pain, and a visible bulge in the affected area. They can be left untreated initially but need to be monitored properly. However, if the condition progresses, surgical hernia repair is required to prevent complications and alleviate symptoms.

• Disease name

Hernia

• Surgery name

Herniorrhaphy

• Duration

35-45 minutes

• Treated by

General Surgeon

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What Is a Hernia?

A hernia happens when an internal organ or fatty tissue pushes through a weak spot in the muscle or surrounding connective tissue. Hernias usually occur in the abdominal wall but can appear in other areas as well. The condition often results in a bulge, which may become more noticeable when standing, coughing, or straining. It can cause discomfort, pain, or a heavy feeling, although some hernias may remain painless in the early stages.

Hernias are generally caused by a combination of muscle weakness and strain. These factors may develop due to aging, surgery, injury, or heavy lifting. Although not always dangerous at first, hernias do not heal on their own and often worsen over time. If untreated, complications such as obstruction or strangulation can occur, which require emergency care.

There are different types of hernias depending on where they form in the body. Each type requires a proper medical diagnosis and treatment plan.

Are you going through any of these symptoms?

What Is Laparoscopic Hernia Surgery?

Laparoscopic hernia surgery is a modern surgical method used to repair hernias with minimal cuts and faster recovery. The surgeon makes a few small incisions and inserts a tiny camera, known as a laparoscope, along with thin surgical tools. The camera shows a live video on a monitor, allowing the surgeon to repair the weak area by placing a mesh for support.

Benefits of this technique include:

  • Smaller cuts and fewer stitches

  • Lower risk of infection

  • Less post-surgery pain

  • Faster discharge from the hospital

  • Quicker return to daily routine

Carbon dioxide gas is used to gently inflate the abdomen, giving the surgeon space to work. This method is particularly useful for people with hernias on both sides or those who have had previous hernia repairs. However, it may not be suitable for every case. The choice of procedure depends on the size of the hernia, the patient’s health, and the surgeon’s assessment.

Different Types of Hernia

Hernias are medically classified based on their location and the tissues involved. Each category presents distinct characteristics that help in clinical assessment and treatment decisions.

Commonly Recognised Types:

  • Inguinal Hernia
    Found in the lower abdominal region near the groin. It occurs more frequently among the male population.

  • Femoral Hernia
    Develops slightly below the groin crease and is relatively less common. More common in females and associated with a higher complication risk, especially after childbirth or heavy lifting.

  • Umbilical Hernia
    Identified near the belly button region. Common in newborns but can also develop in adults with increased abdominal pressure.

  • Hiatal Hernia
    Occurs when the upper portion of the stomach moves upward into the chest area through a natural opening in the diaphragm.

  • Incisional Hernia
    Detected near or at the site of a previous surgical cut. Healing difficulties or postoperative strain can increase the likelihood of occurrence.

  • Spigelian Hernia
    Appears along the outer edge of the abdominal muscles. Less frequent and often harder to detect during routine examinations.

  • Epigastric Hernia
    Located between the chest bone and the navel. Usually contains fatty tissue and may not show symptoms initially.

These variations differ in presentation, prevalence, and potential complications. Timely evaluation by a medical specialist is important to determine suitable management.

 

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Causes of Hernia

A hernia develops when tissue or internal organs project through a defect in the muscle or fascia wall. This protrusion results from weakened connective structures combined with elevated pressure inside the abdominal cavity.

This pressure can arise from several conditions:

  • Forceful exertion during activities like heavy lifting

  • Prolonged or intense coughing episodes

  • Straining during bowel movements

  • Sudden vomiting or sneezing

  • Accumulation of fluid in the abdomen (ascites)

  • Pregnancy-related intra‐abdominal pressure

  • Chronic respiratory illness is prompting repeated coughing.

Weakness in the muscle wall may stem from congenital conditions or age-related wear. Structural deterioration may result from past surgery, impaired tissue support, or an inherited predisposition to weak connective tissue.

Risk Factors of Hernia

Certain health and lifestyle factors significantly increase the likelihood of hernia formation:

  • Advanced age which correlates with weakening of the abdominal wall.

  • Male sex is associated with a higher incidence of groin hernias among men.

  • Family history or genetic connective tissue disorders, which affect tissue resilience.

  • Obesity increases intra‐abdominal pressure.

  • Chronic cough is often seen in smoking or lung disease.

  • Constipation leading to repeated straining.

  • Prior abdominal surgery may leave the fascia vulnerable to protrusion.

These factors compromise tissue stability and raise intra-abdominal pressure. This dual effect increases the risk that internal contents will push through weakened areas, creating a hernia. Understanding the underlying mechanisms and risk factors can inform preventive strategies and medical decision-making.

Management and Surgical Hernia Repair

Hernias do not resolve on their own and often require operative repair to avoid complications. Depending on severity, patient condition, and recurrence risk, physicians recommend a suitable surgical approach. Conservative observation is rarely advised and typically considered for asymptomatic or high-risk cases.

Available Treatment Methods

The primary intervention involves reinforcing the abdominal wall or other affected regions. Two main techniques are applied:

  • Open Hernia Surgery
    A traditional approach where a single incision is made at the site. The bulge is repositioned, and the weakened muscle is reinforced using stitches or synthetic mesh.

    • Performed under regional or general anaesthesia

    • Often requires longer recovery.

    • Generally selected for large or complicated defects

Laparoscopic Hernia Surgery
A less invasive option utilising multiple small incisions and a camera-guided instrument.

  • Reduced post-operative discomfort

  • Quicker rehabilitation

  • Minimal scarring

  • Suitable for recurrent or bilateral cases

Robotic-Assisted Hernia Repair

A variation of minimally invasive surgery guided by robotic control systems. Generally selected when detailed precision is required for complex or recurrent hernias.

Advancements and Recovery in Laparoscopic Hernia Treatment

Laparoscopic Hernia treatment involves enhanced imaging tools and advanced surgical techniques to minimise tissue disruption. Surgeons use thin instruments and a high-resolution camera to access the affected region through minor cuts. This approach supports faster tissue recovery, improved cosmetic outcomes, and a lower risk of postoperative adhesions. It is mostly selected for bilateral or recurrent cases due to reduced discomfort and hospital stay. Enhanced precision from robotic assistance may also be integrated in specialised centres, improving operative accuracy. Anaesthetic methods are personalized based on individual factors, ensuring better intraoperative stability and smoother transitions during discharge planning.

Recent innovations are making laparoscopic hernia more precise, less invasive, and better customized to patient needs.

  • Enhanced 3D imaging improves intraoperative orientation and defect visibility.

  • Minimal internal manipulation reduces the risk of tissue trauma and seroma formation.

  • Optimal choice for athletes or patients requiring a quick return to physical activity.

  • AI-integrated navigation systems are being introduced in select global centers.

Anesthesia protocols now include regional nerve blocks to reduce post-op reliance on opioids.

Comparative Insights into Hernia Surgery Techniques

A structured comparison of open, laparoscopic, and robotic hernia repair methods highlights key differences in outcomes, recovery, and suitability.

 

Technique Key Benefits Limitations / Considerations
Open Surgery Reliable for complex cases; shorter operative time (≈52 min vs 67 min for laparoscopic); cost-effective with local anaesthesia possible. Longer hospital stay; higher wound infection risk (~4.6 % vs 2.1 %); more postoperative pain and larger scars.
Laparoscopic Surgery Reduced surgical site infection risk (RR ~0.30); shorter hospital stay (1.8 vs 2.4 days); less early pain; quicker return to activity. Longer operation time (~67 min vs 52 min); steep learning curve for surgeons; equipment-intensive.
Robotic Surgery Enhanced precision and ergonomics; comparable complication/readmission/recurrence (<4 %) to other approaches; beneficial in complex cases. Higher cost; longer duration; recurrence may be slightly higher in some observational data, possibly due to the learning curve.

Summary

  • Open repair remains a robust option for large or complicated hernias, offering simplicity and lower cost.

  • Laparoscopic repair balances efficacy with fewer complications and faster recovery.

  • Robotic-assisted surgery offers high precision and may benefit complex cases, but it involves greater resource use and cost.

 

When Laparoscopic Hernia Surgery May Not Be Recommended

Laparoscopic hernia treatment may not be suitable for everyone. Some individuals should avoid it or consider alternative methods based on specific health conditions or surgical risks. Here’s a breakdown of who might not be the best candidate:

Absolute or Relative Contraindications
Some people may not be the right fit for laparoscopic surgery. For example:

  • People with serious heart or lung problems who cannot safely go under general anesthesia may not be able to have laparoscopic surgery.

  • If someone has a lot of scars on their stomach from earlier surgeries, it can make it hard to safely use a laparoscope. In such cases, surgery through a larger cut may be safer.

  • Hernias that are stuck or causing serious problems usually need open surgery, where the surgeon can directly fix the damaged area.

  • Very large hernias, especially those that go into the scrotum or have a tricky shape, are often better treated with open surgery.

  • People who are very overweight or have a lot of fluid in the belly may not handle the air pressure used in laparoscopic surgery well..

These points are based on expert medical advice and safety guidelines that help doctors decide which surgery is best for each patient.

Typical Steps Involved in the Procedure

Phase Key Actions
Preoperative Assessment Includes blood analysis, imaging (such as CT or ultrasound), and anesthesia review. Final consent and risk discussion occur at this stage. 
Administration of Anaesthesia General, regional, or local anesthesia is determined based on the patient’s condition and surgical technique. 
Reduction of Hernial Contents Herniated tissue is repositioned into the original cavity.
Reinforcement of Defect The weakened area is reinforced using sutures or a synthetic mesh patch to prevent recurrence. 
Closure and Monitoring Incisions are sealed with sutures or clips. Postoperative observation follows for vital signs, pain control, and wound stability. 

 

Postoperative care, including mobility guidance and wound management, is essential for successful outcomes. Most patients resume normal activities within a few weeks, depending on the surgical type and individual condition.

 

Understanding Recovery After Hernia Surgery

The sections below outline the expected recovery timeline following hernia repair and highlight important measures to follow both before and after the procedure. This guidance helps ensure a safer healing process and reduces complications.

Preoperative Preparation and Support

  • Evaluation includes clinical history, laboratory tests, and anaesthesia assessment.

  • Fasting instructions and possible medication adjustments are communicated in advance.

  • Smoking cessation is recommended to improve healing capacity.

  • A responsible adult should be arranged to accompany and assist post-discharge.

 

Postoperative Recovery Timeline

Stage Milestones and Care Instructions
Day 0–1 Monitoring of vital signs. Light activity encouraged. Treatment for discomfort was administered. 
Days 1–3 Gentle walking begins. The ability to urinate and move independently was assessed before discharge.
Week 1–2 Gradual increase in mobility. Driving and sedentary work may resume, depending on medical advice.
Week 3–4 Light household tasks are resumed. Activity restrictions remain for strenuous movements and lifting. 
Week 5–6 Most physical activities are restored. Healing of the incision and reduction in swelling are expected. 
Beyond 6 weeks Gradual return to full function. Follow-up consultations ensure proper healing and prevent recurrence.

Essential Post-operative Care Tips

  • Pain medications are prescribed, with emphasis on regular dosing in the early phase. Acute symptoms or worsening discomfort should prompt medical contact.

  • Proper wound hygiene is essential: avoid wetting dressings for the first two days; showering is permitted thereafter; signs of infection, like redness or discharge, must be addressed promptly.

  • Encouraged dietary practices include hydration and high‑fiber nutrition to prevent constipation, which may strain repair sites.

  • Activity alterations include avoiding lifting heavy objects or engaging in high-impact exercise for up to six weeks. Walking expedites recovery and should begin early.

These recommendations reflect NHS and peer-reviewed clinical protocols. Recovery expectations vary based on procedural approach, health status, and individual healing.

Cost Breakdown of Laparoscopic Hernia Surgery in India

Laparoscopic hernia repair in India typically incurs higher costs than open surgery, owing to specialised equipment, mesh usage, and surgical expertise.

Estimated Cost Range (₹)

  • Average: ₹60,000 – ₹1,20,000 per procedure

  • Lowest reported: ₹49,000

  • Highest reported: Up to ₹2,48,000 depending on complexity and city

Variation by City (Approximate Average)

  • Delhi and Mumbai: ₹65,000 – ₹1,30,000

  • Bangalore and Chennai: ₹60,000 – ₹1,40,000

  • Kolkata, Pune, Hyderabad: ₹50,000 – ₹1,10,000

Technique-Based Cost Differences

  • TEP (Totally Extraperitoneal Repair): ₹62,000 – ₹2,20,000

  • TAPP (Transabdominal Preperitoneal Repair): ₹68,000 – ₹2,40,000

  • IPOM (Intraperitoneal Onlay Mesh): ₹57,000 – ₹1,90,000

Typical Components of Total Cost

  • Surgeon fees and operating theatre charges

  • Admission and bed charges (general or private room)

  • Mesh and fixation devices

  • Diagnostic tests (e.g., blood panels, imaging)

  • Medicines and post-surgery consumables

  • Follow-up visits and supportive care

 

NOTE: Exact pricing depends on hospital category, length of stay, surgical complexity, and surgeon experience.

Laparoscopic hernia surgery has become a widely accepted treatment option due to its precision, reduced discomfort, and shorter hospitalisation period. With technological progress and skilled surgical teams, both domestic and international patients are opting for this method for better outcomes.

India continues to be a preferred choice for affordable yet high-quality care, while several countries abroad also offer advanced facilities with varying cost structures. Evaluating individual health needs, surgeon expertise, and hospital standards is essential before making a decision.

For further clarity on hospital options or medical planning, seeking expert medical consultation is recommended. Reach out to Pristyn Care today!

 

FAQs on Laparoscopic Hernia Surgery

Is mesh removal ever required after laparoscopic hernia repair?

In rare cases where infection or implant-related complications arise, mesh may need surgical removal. Laparoscopic mesh infection rates are around 1.5% for ventral repairs and are significantly lower than those of open procedures.

How does complication risk compare between laparoscopic and open approaches?

Meta‑analyses indicate a lower incidence of wound infection and hematoma following laparoscopic repair. However, perioperative morbidity may be slightly higher in laparoscopic cases compared to open repair.

Is chronic pain less frequent with laparoscopic techniques?

Laparoscopic methods are associated with a roughly 34 percent reduction in chronic groin pain compared to open mesh procedures.

Does laparoscopic repair take longer than open surgery?

Operating time is generally longer with laparoscopic instruments. However, hospitals report average reductions in hospital stay by around three days compared with open surgery.

What is the risk of needing a second operation for recurrence?

 A large observational study found that laparoscopic repair had nearly double the hazard of reoperation for recurrence compared to open methods (hazard ratio ~1.83).

Can laparoscopic repair safely manage incisional hernias?

For repairs using intraperitoneal onlay mesh, laparoscopic techniques achieved similar long‑term recurrence rates (about 20 percent at ~5 years) with lower complication rates and shorter stays.

Which approach reduces infection risk most effectively?

Network reviews demonstrate that laparoscopic repair reduces the risk of surgical site infections by approximately 78 percent compared to open repair methods.

Is urinary retention a concern following laparoscopic repair?

Urinary retention occurs at similar rates between laparoscopic and open methods and is more often related to anaesthetic agents than surgical approach.

Does laparoscopic repair address multiple hernia defects in the same area?

Visualization of the entire groin region allows simultaneous repair of multiple defects during laparoscopic surgery, potentially reducing future hernias in adjacent regions.

What long-term risks are associated with implanted mesh?

Among over 100,000 hernia operations, the risk of mesh explantation due to infection within five years was notably higher following ventral procedures, with open repairs carrying greater odds than laparoscopic ones.

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Medically Reviewed By
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Dr. Sunil Gehlot
33 Years Experience Overall
Last Updated : August 14, 2025

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