Having Hernia Surgery: Patch Repair

Surgery treats a hernia by repairing the weakness in the abdominal wall. An incision is made so the surgeon has a direct view of the hernia. The repair is then done through this incision (open surgery). To repair the defect, special mesh materials are used to patch the weak area and make a “tension-free repair.” Follow your doctor’s advice on how to get ready for the procedure. You can usually go home the same day as your surgery. In some cases, though, you may need to stay in the hospital overnight.

Getting Ready for Surgery

Your doctor will talk with you about preparing for surgery. Follow all the instructions you’re given and be sure to: 

  • Tell your doctor about any medications, supplements, or herbs you take. This includes both prescription and over-the-counter items.

  • Stop taking aspirin, ibuprofen, naproxen and other NSAIDs as directed.

  • Arrange for an adult family member or friend to give you a ride home after surgery.

  • Stop smoking. Smoking affects blood flow and can slow healing.

  • Gently wash the surgical area the night before surgery.

  • Don’t eat or drink after midnight, the night before your surgery. You may need to take some medication with sips of water on the day of surgery. Talk with your doctor.

Repair in Front

 

 

Repair in Back

 

 

Combination Repair

The Day of Surgery

Arrive at the hospital or surgical center at your scheduled time. You’ll be asked to change into a patient gown. You’ll then be given an IV to provide fluids and medication. Shortly before surgery, an anesthesiologist will talk with you. He or she will explain the types of anesthesia used to prevent pain during surgery. You will have one or more of the following:

  • Monitored sedation to make you relaxed and sleepy.

  • Local anesthesia to numb the surgical site.

  • Regional anesthesia to numb specific areas of your body.

  • General anesthesia to let you sleep during surgery.

During the Surgery

Most hernias are treated using “tension-free” repairs. This is surgery that uses special mesh materials to repair the weak area. Unlike traditional repairs, the abdominal fascia (tissue around the muscle that gives strength to the abdominal wall) isn’t sutured together. Instead, the mesh covers the weak area like a patch. This repairs the defect without “tension” on the muscles. It also makes it less likely to happen again. The mesh is made of strong, flexible plastic that stays in the body. Over time, nearby tissues grow into the mesh to strengthen the repair.

After Surgery

When the procedure is over, you’ll be taken to the recovery area to rest. Your blood pressure and heart rate will be monitored. You’ll also have a bandage over the surgical site. To help reduce discomfort, you’ll be given pain medications. You may also be given breathing exercises to keep your lungs clear. Later, you’ll be asked to get up and walk. This helps prevent blood clots in the legs. You can go home when your doctor says you’re ready.

 

Risks and Complications

Hernia surgery is safe, but does have risks including:

  • Bleeding

  • Infection

  • Anesthesia risks

  • Mesh complications

  • Inability to urinate  

  • Bowel or bladder injury 

  • Numbness or pain in the groin or leg

  • Risk the hernia will recur

  • Damage to the testicles or testicular function

Online Medical Reviewer: Brown, Kim, APRN
Online Medical Reviewer: MMI board-certified, academically-affiliated clinician
Last Review Date: 3/17/2014
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