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Doctor insights on: Incision For Inguinal Hernia Repair

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What is the cause of the numbness below the incision after inguinal hernia repair? When should sensation return to this area?

What is the cause of the numbness below the incision after inguinal hernia repair? When should sensation return to this area?

Cut skin nerves: Numbness below the skin incision after inguinal hernia repair is normal because the small skin nerves are cut when the incision is made. Most of the preoperative sensation should return over 6-12 months after the original surgery, however, it may never return to the preoperative level. ...Read more

Dr. David Earle
577 Doctors shared insights

Hernia Repair (Definition)

A hernia is a hole in the abdominal wall through which the lining of the abdominal cavity protrudes, creating a sac. Hernias are common in the groin, belly button, upper-midline, or associated w/scars. The exact method of repair varies w/the type & size of the hernia as well as patient-factors, however, the basic principle is the same: close the hole, often ...Read more


Dr. James Lin Dr. Lin
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10d since my open inguinal hernia repair. A painless, hard lump, like a thick cord has appeared in my scrotum (side of incision). What could it be?

Dr. James Lin Dr. Lin
1 doctor agreed:
10d since my open inguinal hernia repair. A painless, hard lump, like a thick cord has appeared in my scrotum (side of incision). What could it be?

Here are some. ..: At times, some hardening along spermatic cord resulting from some local blood infiltration after hernia repair may occur and takes time to resolve slowly. If not resolved in 2-3 months, seek pro-evaluation for confirmation and counseling. ...Read more

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Inguinal hernia repair w/ PHS mesh in 2008. Since then, a hard lump has formed under the incision scar, and it's painful in 2015. Lipoma? Thoughts?

Inguinal hernia repair w/ PHS mesh in 2008. Since then, a hard lump has formed under the incision scar, and it's painful in 2015. Lipoma? Thoughts?

Possibilities are: Hypertrophic scar, recurrent hernia, or delayed infection. See your original surgeon or another surgeon if he/she is no longer available. Lipoma is not likely if the lump is hard, because lipoma is usually soft. ...Read more

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Pulled heavy weight resulting in slight right side bulge in scrotum. Ultrasound shows no signs of hernia. Had inguinal hernia repair 30 years ago. Feel slight pain below incision scar after exercise. The bulge reduces at times but mostly stays. Do I need

Pulled heavy weight resulting in slight right side bulge in scrotum. Ultrasound shows no signs of hernia. Had inguinal hernia repair 30 years ago. Feel slight pain below incision scar after exercise. The bulge reduces at times but mostly stays. Do I need

Hernia: It sure still sounds like a hernia. The quality of ultrasound varies tremendously based on the equipment and also the technician, I would not hesitate to get a second opinion. Having a hernia is very often a clinical diagnosis, if there is any question a ct scan can be helpful. ...Read more

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I am having operative pain relating to inguinal hernia repair. What to do?

I am having operative pain relating to inguinal hernia repair. What to do?

YourSurgeonKnowsBest: Pain following hernia surgery is common & expected, varying quite a bit depending on the type of hernia & method of repair. Within days-to-weeks, the pain dissipates quite a bit. If possible, it is often best to take anti-inflammatories rather than narcotics to rx the pain. I advise you to contact your surgeon for specific recommendations. ...Read more

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What does an inguinal hernia repair operation entail?

What does an inguinal hernia repair operation entail?

Many types: There are two main categories of repair - open and laparoscopic. Both are generally done as outpatient operations. The variety of open techniques are performed by about 80% is surgeons, and lap about 20%. Open techniques are slightly more painful and associated with a slightly longer recovery. ...Read more

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Is it possible for inguinal hernia repair to cause fertility?

Doubtful: While anything is possible, and there have been a few reports of this, there have only been a few reported out of millions of repairs. I have had experience where there was a couple with difficulty conceiving, them they got pregnant after the hernia repair. ...Read more

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After inguinal hernia repair should the bulge still be present?

Yes: After any surgery, a ridge develops where the incision is. This is called the proud or healing ridge and slowly disappears over a four month period. In a some patients it is quite pronounced and causes concern. If you have any question about your wound, you need to see your surgeon. ...Read more

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Can you tell me the risks of having inguinal hernia repair surgery?

Can you tell me the risks of having inguinal hernia repair surgery?

Relatively safe: Surgery, one of the most commonly performed, low risk ambulatory surgical procedure. Possible to have recurrence, rare instances possible to have persistent pains, testicular atrophy, speak to your surgeon for benefits and risks of the procedure. ...Read more

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Is there much post operative pain relating to inguinal hernia repair?

Is there much post operative pain relating to inguinal hernia repair?

Moderate: It depends on the type of repair that you have. In general, open (large incision) hernia repair has more pain and disability than a laparoscopic (small incision) hernia repair, but it depends a lot on you and your pain tolerance. Your surgeon's techniques also play a role. Most people require moderate narcotics after surgery to control their pain. ...Read more

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When do I replace the bandage after laparoscopic inguinal hernia repair?

No need: Usually, there are only small tapes over the incisions that come off on their own within a week or two. As long as the wound is dry, no need for a bandage. If you're still unsure, call your surgeon. Hope this helps! ...Read more

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Is it normal to have a bulge where I had inguinal hernia repair years ago?

May be recurrence: See your surgeon, may be repair broke down, and hernia recurred. ...Read more

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What happen to the mesh which is used in inguinal hernia repair? Is it safe?

Incorporates: The mesh used for inguinal hernias has been safe for most patients with several decades of experience. They remain inert but is intimately attached to the body with scar tissue. Very occasionally they can irritate the surrounding tissues or cause pain when too much scar tissue is incited. Theorized potential for increased infection has not been seen. It is safe. ...Read more

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Is it normal to have post operative pain relating to inguinal hernia repair?

Is it normal to have post operative pain relating to inguinal hernia repair?

Yes: Usually goes away in a few weeks, if it persists for months, may be caused by scar tissue around sensory nerve in the area. Injections of numbing medication can help, rarely reoperation to cut the nerve is needed. ...Read more

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Why is an open inguinal hernia repair better than a laparoscopic hernia repair?

It may not be...: Inguinal hernia repair is technically challenging, open or laparoscopic. The laparoscopic repair is relatively new and not all surgeons are comfortable performing repair this way. Statistically, the failure rate of open hernia repair is between 1-5% depending on sugeon expertise. Conversely, laparoscopic failure is much higher up to 10% and more depending on experience. More experience=less failur. ...Read more

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What's best for inguinal hernia repair artificial mesh or acellular dermal matrixes?

Artificial: Studies have shown over and over that artificial mesh is the best for a hernia operation. Dermal matrices do not work for an inguinal hernia. An artificial mesh is the standard of care for inguinal hernias. ...Read more

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Are there any real benefits of laparoscopic over open inguinal hernia repair with mesh?

Are there any real benefits of laparoscopic over open inguinal hernia repair with mesh?

"Double" Hernias, etc: Controversy exists amongst hernia surgeons which approach is best. In my experience, people return to normal activities faster via laparoscopy. This is most pronounced with bilateral ("double") hernias. Also, people with recurrent hernias originally repaired open benefit greatly from the laparoscopic approach. ...Read more

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Can I wait 2 months for an inguinal hernia repair or should I ask for the surgery sooner?

Can I wait 2 months for an inguinal hernia repair or should I ask for the surgery sooner?

It depends on....: ...The size of the hernia and it's potential for bowel to get "incarcerated" within the sac. If the hernia is small and easily reducible, there should be no problem waiting a few months. The best judge of this would be the surgeon who saw you--i am certain they would have an opinion. Good luck! ...Read more

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I had right inguinal hernia repair three years ago. Is there any chance of recurrence. What activities should I avoid.

I had right inguinal hernia repair three years ago. Is there any chance of recurrence. What activities should I avoid.

A chance: There is a chance of recurrence depending on the experience of your surgeon. I give my post-op hernia patients no restrictions, especially 3 years later. ...Read more

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Extremely painful fluid build up under skin after open mesh inguinal hernia repair. How common is this, and how long does it usually last?

Extremely painful fluid build up under skin after open mesh inguinal hernia repair. How common is this, and how long does it usually last?

Likely Seroma: The most common cause is build up of clear fluid called Seroma due to interruption of minor lymphatic vessels. If minor and minimal symptoms may resolve by itself, if sore and tense may need to be drawn off with a needle ...Read more

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Had an inguinal hernia repair about 10 days ago, less pain but above the cut have a hard swelling, it is normal, will the swelling subside.

Had an inguinal hernia repair about 10 days ago, less pain but above the cut have a hard swelling, it is normal, will the swelling subside.

Yes it will: In couple of wks every thing will be normal once healing process is complete. Make sure to go back to your surgeon for a post OP follow up visit. ...Read more

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I had surgery for a inguinal hernia repair about 5 1/2 years ago. I'm starting to have the same symptoms as the first one, can it happen twice?  

Sure.: Most inguinal hernia repairs are permanent, but you can have a recurrent hernia for many different reasons. But, there are other conditions that have some symptoms similar to an inguinal hernia. Your doctor can probably sort this out pretty quickly with an exam. ...Read more

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Inguinal hernia repair?

Several: Commom problem with usual clear diagnosis

traditional open surgery with good long term
laparoscopic with mesh

most with good results. ...Read more

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Who does inguinal hernia repair.?

Who does inguinal hernia repair.?

General surgeons: Inguinal hernia repair is done by mostly general surgeons, however certain general surgeons will do only hernia surgery only. ...Read more

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What exactly is an inguinal hernia repair?

Closing the hole: An inguinal hernia is a hole in the abdominal wall in one or more of three locations in the groin. When the hole permits transit of intra-abdominal contents, and requires repair, most techniques occlude the hole with some type of mesh using either the most common open, or less common laparoscopic technique. ...Read more

Dr. Barry Rosen
463 Doctors shared insights

Inguinal Hernia (Definition)

An inguinal hernia is a hernia that occurs in the inguinal region (groin). It passes out throughout the muscle in a canal near the spermatic ...Read more


Incision (Definition)

An incision is an opening made in the skin or mucosal surface. It is usually performed to allow entry into a body cavity in order to ...Read more