Hernia Repair

What is Hernia Repair?

Hernia repair, or herniorrhaphy, is a common surgical procedure in Singapore that treats hernias within the body. Hernias occur when an internal part, such as an organ or fatty tissue, protrudes through a weak spot in the muscle or surrounding tissue wall. This condition predominantly affects the abdomen and groin region. This procedure aims to relieve discomfort and prevent potential complications from untreated hernias, significantly enhancing your quality of life.

Although hernias are a relatively common concern, timely medical intervention is required to address the issue by repositioning the bulge or reinforcing the weakened areas to prevent recurrence. Surgery is the most common method to address hernias to lower the chances of further health issues, which helps ensure that you can resume your daily activities with minimal distress and improve your overall well-being.

How does Hernia Repair work?

When it comes to hernia repair surgery in Singapore, there are three primary methods to consider: open surgery, laparoscopic (keyhole) surgery, and robotic surgery. Each technique is chosen based on factors such as the size, location, and complexity of the hernia, as well as your overall health and preferences.

• Open surgery: open surgery is the most common method and involves making an incision (3- to 6-inch) near the hernia site. Your surgeon then repairs the hernia by pushing the protruding tissue back into place and reinforcing the weakened area, often using stitches or mesh for added support. The incision is then closed with stitches or staples.
• Laparoscopic surgery: laparoscopic surgery is a minimally invasive approach that requires three to four small incisions (1/4- to 1/2-inch each) for surgical tools and a laparoscope. The camera on the laparoscope will provide clear visualisation for the surgeon in repairing the hernia with mesh internally. Generally, this method leads to less postoperative pain and a faster recovery than open surgery.
• Robotic surgery: similar to laparoscopic surgery, robotic surgery uses robotic arms under the surgeon's control. This technique offers precise, flexible and controlled movements, which is especially beneficial for complex or recurrent hernias. It allows for smaller incisions like the laparoscopic method, which helps reduce recovery time and postoperative discomfort.

Benefits of Hernia Repair in Singapore

• Pain relief and comfort: addressing a hernia can alleviate the pain and discomfort associated with this condition. 
• Preventing hernia complications: surgery can prevent severe issues such as intestinal obstruction, strangulation (cutting off blood supply to the herniated tissue) and bowel ischaemia.
• Enhancing physical function: repairing the hernia can improve your mobility and the ability to carry out daily tasks comfortably.
• Resuming normal activities: following a recovery period, most individuals can resume their regular activities, including work and exercise, without the limitations imposed by a large hernia.
• Aesthetic enhancement: in some cases, surgery can enhance the appearance of the affected area, particularly if the hernia was prominent or caused noticeable bulging.

What conditions can Hernia Repair treat?

A hernia repair can be used to treat various types of hernia:

• Inguinal hernia: inguinal hernias occur when part of the intestine or abdominal fat protrudes through a weak spot in your abdominal muscles near the groin area.
• Femoral hernia: femoral hernias are similar to inguinal hernias but are found lower down, where the thigh meets the pelvis. This hernia is more susceptible to strangulation. 
• Umbilical hernia: umbilical hernias occur near the navel (belly button) when part of the intestine or fat bulges through an opening in the abdominal muscles.
• Incisional hernia: incisional hernias develop through a weakened scar in the abdomen from a previous surgery.
• Hiatal hernia: hiatal hernia is when part of the stomach moves up through the diaphragm into the chest cavity.
• Epigastric hernia: epigastric hernias occur when fat pushes through a weak part of the abdominal wall between the navel and the lower part of the sternum.

What results can I expect from a Hernia Repair in Singapore?

When considering hernia repair surgery in Singapore, it is important to have realistic expectations about the outcomes and potential complications.

Expected outcomes of hernia repair include:

• Relief from symptoms: the primary objective of hernia repair surgery is to alleviate symptoms such as discomfort, pain, and the visible bulge. Following surgery, most individuals will notice a significant improvement in these symptoms.
• Improved quality of life: hernia surgery aims to enhance your overall quality of life. Previously challenging or painful activities due to the hernia may become more manageable.
• Reduction in hernia recurrence: modern surgical methods, particularly when utilising mesh to strengthen the hernia repair, have decreased the likelihood of hernia recurrence. Research indicates that re-recurrence rates could drop to approximately 5% for laparoscopic repairs of recurrent hernias.
• Quick recovery: in the case of laparoscopic hernia repair, patients often report reduced pain and a faster return to regular activities compared to traditional open surgery. Laparoscopic inguinal hernia repair has shown improved postoperative outcomes, such as decreased pain levels and an enhanced quality of life.

What is the duration of a Hernia Repair?

Hernia repair is usually completed in one session; however, the duration of the surgery can vary. Simple repairs may last as briefly as 30 minutes, and more complex repairs (e.g., complex recurrent incisional hernia) could extend up to five hours.

Frequently asked questions

Can I prevent hernias?

While not all hernias can be prevented, maintaining a healthy weight, avoiding heavy lifting, preventing constipation by eating a high-fibre diet, and quitting smoking can reduce one's risk of developing hernias.

Do all hernias require surgery?

Not all hernias require immediate surgery. Treatment depends on the size of the hernia and the severity of symptoms. Some may be managed with watchful waiting or lifestyle changes, especially if they are small and do not cause symptoms.

How long is the recovery after hernia surgery?

Recovery can vary depending on the type of surgery performed and your overall health. Generally, you should be able to return to light activities within a few days to a week after surgery. Full recovery and return to heavy lifting or strenuous activities might take 4 to 6 weeks or more.

Will my hernia come back after surgery?

There is always a risk of hernia recurrence, but using mesh in the repair can significantly reduce this risk. Following your surgeon’s advice on activity restrictions and adopting healthy lifestyle habits can also help minimise the risk.