Hernia Surgery

A hernia occurs when an internal organ or tissue pushes through a weak spot or opening in the surrounding muscle or connective tissue. Hernias are common and can occur in various parts of the body.

At Sydney Surgical Associates, we offer expert diagnosis, treatment, and surgery for all types of hernias. Whether you are dealing with an inguinal hernia, femoral hernia, or any other type, our team of experienced surgeons provides the highest standard of care.

An inguinal hernia is the most common type of hernia and occurs in the lower abdomen, specifically in the groin area. It happens when part of the intestine or fatty tissue pushes through a weakness in the abdominal wall or the inguinal canal, which is a passageway for structures in the groin.

Causes and Risk Factors

  • Age: Inguinal hernias are more common in older adults due to muscle weakness.
  • Chronic coughing or sneezing (such as from smoking or respiratory conditions)
  • Straining during bowel movements or urination
  • Heavy lifting or physically demanding work
  • Pregnancy or previous abdominal surgery
  • Family history or congenital weakness in the abdominal wall

 

Symptoms

  • A bulge or lump in the groin area
  • Pain or discomfort, particularly when bending over, coughing, or lifting
  • A feeling of heaviness or pressure in the groin

 

Treatment

Surgery is often necessary to repair an inguinal hernia, particularly if it causes pain or becomes incarcerated (unable to be pushed back) or strangulated (cutting off blood supply). Surgery options include:

  • Open hernia repair: A traditional method where an incision is made to push the hernia back into place and repair the muscle wall.
  • Laparoscopic (keyhole) surgery: A minimally invasive procedure using small incisions and a camera to repair the hernia, resulting in quicker recovery times.

 

In Australia, inguinal hernias are estimated to affect 1 in 4 men and 1 in 20 women over their lifetime.

A femoral hernia occurs when a portion of the intestine or fatty tissue pushes through a weakness in the femoral canal, which is located just below the inguinal ligament in the groin. Femoral hernias are less common but tend to occur more frequently in women, particularly those who are pregnant or overweight.

Causes and Risk Factors

  • Pregnancy: Increases intra-abdominal pressure.
  • Obesity: Extra weight can contribute to muscle weakness.
  • Heavy lifting or straining
  • Previous surgery in the groin area

 

Symptoms

  • A bulge in the groin, especially when standing or coughing
  • Pain or tenderness in the area
  • Discomfort during physical activities

 

Treatment

Femoral hernias often require surgical intervention due to the risk of becoming incarcerated or strangulated. The treatment options are similar to those for inguinal hernias:

  • Open hernia repair: Traditional surgery to repair the defect.
  • Laparoscopic surgery: A minimally invasive option for faster recovery.

 

An umbilical hernia occurs near the belly button, where the abdominal muscles are naturally weaker. It is common in infants but can also affect adults, particularly those who are overweight or have had multiple pregnancies.

Causes and Risk Factors

  • Pregnancy: Increases pressure on the abdominal wall.
  • Obesity: Excess body fat can weaken the abdominal muscles.
  • Chronic coughing or straining
  • Previous abdominal surgery

 

Symptoms

  • A noticeable bulge near the belly button
  • Pain or tenderness, particularly when coughing or lifting

 

Treatment

Surgery is recommended for umbilical hernias, particularly in adults. The procedure involves pushing the hernia back into place and repairing the weak area of the abdominal wall. Options include:

  • Open surgery: A traditional method using an incision to repair the hernia.
  • Laparoscopic surgery: A minimally invasive technique for faster recovery.

An incisional hernia develops at the site of a previous abdominal surgery. The intestines or other tissues push through the weakened area of the abdominal wall where an incision was made.

Causes and Risk Factors

  • Previous abdominal surgery: The most common cause, especially if the surgical incision was large.
  • Obesity: Increased abdominal pressure
  • Infection at the site of surgery
  • Smoking: Increases the risk of poor wound healing

 

Symptoms

  • A bulge or lump near a previous surgical scar
  • Pain or discomfort, especially when lifting or straining
  • Tenderness around the scar area

 

Treatment

Surgical repair is the main treatment, which may involve:

  • Open hernia repair: To repair the defect in the abdominal wall.
  • Laparoscopic repair: A minimally invasive procedure for smaller incisions and quicker recovery.

An epigastric hernia occurs between the belly button and the chest, in the area of the epigastric region. It happens when fatty tissue or part of the intestine pushes through a small hole in the abdominal wall.

Causes and Risk Factors

  • Obesity or excess weight
  • Chronic coughing or straining
  • Previous surgery in the abdominal area

 

Symptoms

  • A small bulge or lump above the navel
  • Pain or tenderness, especially when coughing or lifting

 

Treatment

Most epigastric hernias are treated with surgery, which can be done via:

  • Open surgery: Traditional method for larger hernias.
  • Laparoscopic surgery: A minimally invasive approach.

A ventral hernia occurs in the abdominal wall, usually as a result of a weak spot or previous surgery. This type of hernia can develop in various locations across the abdomen.

Causes and Risk Factors

  • Obesity
  • Previous abdominal surgery
  • Trauma to the abdominal area
  • Pregnancy

 

Symptoms

  • A visible bulge in the abdominal wall
  • Pain, especially during physical activity or lifting

 

Treatment

Surgical repair is required for ventral hernias and may involve:

  • Open or laparoscopic surgery to reinforce the abdominal wall.

A spigelian hernia is a rare type of hernia that occurs along the edge of the rectus abdominis muscle, where the muscle and connective tissue meet. It is often overlooked because it is not as visible as other types of hernias.

Causes and Risk Factors

  • Obesity: Increased intra-abdominal pressure
  • Trauma or injury to the abdominal wall

 

Symptoms

  • A small, often painful bulge in the lower abdomen
  • Discomfort during movement or coughing

 

Treatment

Surgical intervention is usually required, with options including:

  • Open or laparoscopic surgery to repair the hernia.

Why Choose Sydney Surgical Associates?

At Sydney Surgical Associates, we specialise in the diagnosis and surgical treatment of hernias. Our expert surgeons offer a range of minimally invasive options, ensuring quicker recovery times and minimal discomfort. We are committed to providing compassionate care tailored to your individual needs.

Book a Consultation

If you suspect you have a hernia or are experiencing symptoms, contact Sydney Surgical Associates to schedule a consultation. Early diagnosis and treatment can help prevent complications and improve your recovery outcomes.