Surgery for Inguinal Hernia
Surgery for Inguinal Hernia
If you’ve been diagnosed with an inguinal hernia, you may be wondering whether surgery is necessary, and if so, what the process involves. Here’s what you need to know to feel prepared and assured.
What is Inguinal Hernia Surgery?
An inguinal hernia occurs when tissue—such as part of the intestine—protrudes through a weak spot in the abdominal wall in the groin area. This can cause pain and a noticeable bulge, potentially leading to complications if left untreated.
The goal of inguinal hernia surgery is to push the protruding tissue back into place and strengthen the abdominal wall to prevent recurrence. Surgeons will use a mesh to reinforce the area, reducing the chance of future hernias.
What are the types of Inguinal Hernia Surgery?
Open Hernia Repair (Herniorrhaphy)
Open repair is the traditional method. The surgeon makes a single incision over the hernia site, returns the protruding tissue to the abdomen, and supports the abdominal wall with stitches or mesh. This approach is especially effective for larger or recurrent hernias.
Laparoscopic (Minimally Invasive) Repair
Laparoscopic surgery involves several small incisions. The surgeon inserts a camera and surgical instruments to repair the hernia from inside the abdomen. This method offers:
- Less post-op pain
- Smaller scars
- Quicker recovery
However, not all patients are suitable candidates for this approach. Factors like prior abdominal surgery, complex or large hernias, or health conditions that limit tolerance for general anaesthesia may make open surgery a safer option.
Robotic-Assisted Hernia Repair
The surgeon performs this surgery with controlled robotic arms. It is similar to laparoscopic repair but may provide improved visualisation and dexterity in complex cases.
When is Surgery for Inguinal Hernia recommended?
Surgery is often advised if you:
- Experience persistent or severe groin pain
- Notice a visible bulge that doesn’t go away
- Have difficulty with daily activities due to discomfort
- Develop signs of hernia incarceration (bulge that can’t be pushed back in) or strangulation (blocked blood supply)
Procedure for Inguinal Hernia Surgery
Before the Procedure
You will undergo preoperative tests, including blood work and imaging. Your surgeon will discuss the ideal surgical method for your condition.
Pre-surgery instructions may include:
- Fasting 6 hours before surgery
- Stopping certain medications (e.g. blood thinners)
- Arranging someone to accompany you post-surgery
During the Procedure
Surgeons perform inguinal hernia surgery under general anaesthesia or local anaesthesia. The procedure typically lasts 30 minutes to 1.5 hours, depending on the type and complexity of the hernia, as well as the surgical approach used.
Your surgeon will begin surgery by making an incision at or near the hernia site. In open repair, this is usually a single incision in the groin. In minimally invasive approaches, a few small incisions are made in the lower abdomen.
The protruding tissue is carefully pushed back into the abdominal cavity, and a synthetic mesh is positioned over the weak area of the abdominal wall to provide reinforcement and reduce the risk of recurrence. Once the mesh is secured, the incisions are closed and bandaged, completing the repair.
After the Procedure
After surgery, your care team will monitor you in the recovery area for a few hours to ensure you’re stable and comfortable as the anaesthesia wears off. In most cases, they will encourage you to get up and start walking on the same day. Early movement helps promote circulation and reduces the risk of complications.
Most patients go home the same day or the day after, depending on the type of surgery performed and their response to the procedure.
Risk Factors for Inguinal Hernia
An inguinal hernia often develops due to a combination of muscle weakness and increased abdominal pressure. Understanding the risk factors can help you recognise your chances of developing one and take preventive steps where possible.
You may be at higher risk if you:
- Are male (more common in men)
- Smoke (which weakens connective tissue)
- Are overweight
- Have a family history of hernias
Recurrence risk increases if:
- The hernia is large
- Post-op instructions aren’t followed
- The patient continues to strain or lift heavily before full healing
Cost of Inguinal Hernia Surgery
The cost of inguinal hernia surgery in Singapore can vary depending on the complexity of the case, the surgical method used and your individual care plan. Based on the Ministry of Health (Singapore) historical transacted bill sizes and fee benchmarks for repairing a one-sided inguinal hernia:
- The typical surgeon’s fee ranges from S$3,600 to S$6,000 (excluding GST).
- The anaesthetist’s fee typically ranges from S$1,100 to S$1,600 (excluding GST).
These figures reflect only the surgical fees. The final hospital bill will also depend on:
- Your choice of hospital
- Length of hospital stay and recovery needs
- Charges for diagnostic tests and other services
- Your insurance plan’s co-payment, deductible coverage, and claims limits
Procedures are Medisave-claimable, helping you cover part of the cost. Additional support may be available through your integrated shield plan or private insurance. For a cost estimate tailored to your situation, speak with your financial counsellor or care team.
Inguinal Hernia Surgery FAQs
Am I a candidate for inguinal hernia surgery?
If your hernia causes pain, limits your activities, or poses a risk of complications, surgery may be advisable. Your surgeon will assess your health, the type of hernia, and your preferences.
What are the risks and complications of inguinal hernia repair?
While inguinal hernia surgery is generally safe, potential risks include:
- Infection
- Bleeding
- Recurrence
- Chronic pain
- These are rare and minimised with experienced surgical care.
How long is the recovery period after inguinal hernia surgery?
Most patients resume light activities within a week. Full recovery typically takes 4–6 weeks, depending on the surgical method and the individual’s healing process.
Can an inguinal hernia recur after surgery?
Recurrence is uncommon but possible. Following your surgeon’s instructions during recovery and avoiding abdominal straining and carrying of heavy loads can reduce this risk.
When can I return to work or exercise after an inguinal hernia surgery?
This depends on your job and the type of surgery you undergo. Office workers may return in a few days, while those with physically demanding roles may need 4–6 weeks. You are also advised to avoid carrying heavy loads like weight training for 3 months if possible.
How will I know if something is wrong after the procedure?
Watch for signs such as:
- Fever
- Worsening pain or swelling
- Redness or discharge from the wound
Contact your surgeon immediately if you experience these symptoms.
How often will I need follow-up imaging or tests?
This depends on the underlying condition. If it is a cancer, your surgeon will recommend regular follow-ups, often every 3–6 months in the first year, then annually. For benign tumours, either just a scan 6 months to one year after the surgery, or no scan is required.
Consult Our Hernia Repair Surgeons
Dealing with an inguinal hernia can cause discomfort and uncertainty, but with proper surgical care, you can regain your comfort and quality of life. If you’re considering treatment options or have been advised to undergo hernia surgery in Singapore, consult our experienced hernia surgeons.
Consult Our Doctors
Dr Jane Tan Jye Yng
Colorectal & General Surgeon
Dr Lim Khong Hee
Upper Gastrointestinal, Bariatric & General Surgeon
Cost & Financing
Nexus Surgical provides comprehensive financial services to ensure a seamless and pleasant experience.