HERNIA / ABDOMINAL WALL · CONDITION GUIDE
Inguinal Hernia
A protrusion of abdominal contents through the inguinal canal — the most common hernia in men, repaired laparoscopically or open with mesh to prevent recurrence and complications.
ABOUT THIS CONDITION
What is Inguinal Hernia?
An inguinal hernia occurs when abdominal contents — typically fat or a loop of bowel — protrude through the inguinal canal in the groin. It is the most common hernia type, accounting for 75% of all hernias, and is far more prevalent in men due to the patent processus vaginalis. Direct hernias protrude through a weakness in the posterior inguinal wall; indirect hernias pass through the internal inguinal ring. Dr. Tagore Mohan Grandhi performs laparoscopic inguinal hernia repair (TEP/TAPP) at Lux Hospitals, Hyderabad, as a day-case procedure. Laparoscopic repair with mesh reinforcement offers excellent outcomes, a single mesh covering all inguinal defects, minimal post-operative pain, and rapid return to normal activities.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Congenital patent processus vaginalis in indirect inguinal hernias
- Weakness of the posterior inguinal wall (transversalis fascia) in direct hernias
- Age-related weakening of abdominal wall musculature
- Chronic straining from constipation, urinary obstruction, or heavy physical labour
- Previous inguinal surgery, injury, or infection
- Elevated intra-abdominal pressure from obesity, ascites, or pregnancy
CLINICAL DETAILS
KeyFacts
75% of all hernias; 25% lifetime risk in men
Laparoscopic TEP/TAPP with mesh — day case
Both sides repaired simultaneously laparoscopically
Under 2% with laparoscopic mesh repair
Light activity in days; heavy work at 4–6 weeks
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Laparoscopic TEP Repair
Totally extraperitoneal (TEP) laparoscopic inguinal hernia repair places mesh in the preperitoneal space through three small incisions, covering all potential inguinal hernia defects simultaneously. Dr. Grandhi performs TEP repair as the preferred technique, offering same-day discharge, minimal post-operative pain, and simultaneous bilateral repair when needed.
- 1
Assessment & Hernia Confirmation
Clinical examination confirms the hernia type, reducibility, and whether it is unilateral or bilateral. Ultrasound is used in equivocal cases. Contralateral hernia is assessed for simultaneous repair.
- 2
Anaesthetic & Day-case Planning
Laparoscopic repair under general anaesthesia is planned as a day-case procedure. Pre-operative assessment ensures fitness for general anaesthesia and identifies any contraindications to laparoscopic approach.
- 3
Laparoscopic TEP or TAPP Repair
A large mesh is placed in the preperitoneal space to cover the direct and indirect hernia defects and the femoral canal. Mesh is secured with fibrin glue or tacks. The patient is discharged the same day.
- 4
Recovery & Return to Activity
Light walking resumes the same day. Desk work is possible within 2–3 days. Heavy lifting and strenuous activity should be avoided for 4–6 weeks to allow mesh incorporation.
AVAILABLE TREATMENTS
TreatmentOptions
Laparoscopic Hernia Repair (TEP/TAPP)
Laparoscopic preperitoneal mesh repair — gold standard for inguinal hernia with day-case discharge, minimal pain, and under 2% recurrence rate. Preferred for bilateral hernias.
Hernia Repair (Open)
Open Lichtenstein tension-free mesh repair under local or general anaesthesia. Standard approach for recurrent hernias after previous laparoscopic repair or when laparoscopic surgery is contraindicated.
COMMON QUESTIONS
Frequently Asked Questions
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