WellSpan Home

Inguinal Hernia: Surgery in Adults

Topic Overview

Adults need to have inguinal hernia repair surgery in the following situations.

  • Hernias that contain a loop of intestine without blood supply (strangulated hernias) require emergency surgery.
  • Hernias that contain a trapped loop of intestine (incarcerated hernias) need to be repaired as soon as possible to avoid strangulation. Surgery may be scheduled when it is convenient if strangulation does not appear likely.
  • In healthy adults, hernias that can be pushed back into the abdomen and are not causing discomfort or pain can be repaired when it is convenient. In some cases small, painless hernias may never need to be repaired.

The following people may not be able to have hernia surgery or may choose not to have surgery.

  • People with chronic illnesses may decide against surgery if hernias are not incarcerated or strangulated. It usually is appropriate to repair a hernia. But a balance of length of life, how much the hernia is bothering you, and your wishes will be taken into account.
  • People with cirrhosis often have fluid in the abdomen (ascites) that increases abdominal pressure and causes the hernia to recur after it is repaired. Some surgeons advise people with cirrhosis not to have hernia surgery.
  • Men who have extreme difficulty urinating because of an enlarged prostate should have the prostate problem fixed before having hernia repair surgery.
  • People who have had radiation treatments to the groin area may have poor healing and a higher risk of the hernia coming back.

Credits

ByHealthwise Staff
Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Adam Husney, MD - Family Medicine
Specialist Medical ReviewerKenneth Bark, MD - General Surgery, Colon and Rectal Surgery

Current as ofOctober 6, 2017


Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.

×

Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.

×