Herniotomy

Have you noticed a small bulge in your or your child’s groin or tummy area? This could be a hernia, a condition where internal tissue pushes through a weak spot in the abdominal wall. While hernias can be concerning, the good news is that many can be treated safely with a procedure called herniotomy.

Femoral hernias can go unnoticed for extended periods due to a lack of obvious symptoms. This silent nature makes them more dangerous than other types of hernias, as they are frequently discovered only after complications arise. With the highest rate of strangulation among hernias, recognising even subtle or infrequent symptoms is crucial for taking timely action and preventing serious harm.

How Is Herniotomy Performed?

Herniotomy is a straightforward procedure that repairs the hernia using the patient’s own tissue, without any mesh needed. During the operation, the surgeon makes a small incision in the groin to access the hernial sac. The tissue or organ that has pushed through the abdominal wall is gently returned to its proper place. The hernial sac is then tied off and removed, and the opening is closed with sutures. Finally, a sterile dressing is applied to protect the area, support healing, and help reduce the chance of the hernia coming back.

When Is Herniotomy Recommended?

Herniotomy is often recommended in situations where a mesh repair may not be necessary or suitable. It’s commonly chosen for the following reasons:

• Congenital Hernias – Inguinal hernias are fairly common in infants, especially boys and premature babies, because a small opening in the abdominal wall doesn’t close properly before birth. In these cases, herniotomy helps remove the hernial sac and close the opening, offering a lasting repair.
• Small and Uncomplicated Hernias – For small umbilical or epigastric hernias (usually less than 1–2 cm), herniotomy provides a simple and effective solution with minimal risk of recurrence, eliminating the need for mesh.
• Unsuitability for Mesh Repair – Patients with active infections, mesh allergies or contaminated surgical sites may benefit from herniotomy as a safer alternative.
• Preference for Quicker Recovery – Because herniotomy is less invasive than mesh repair, recovery is often faster. This makes it a suitable option for children and older adults, or for anyone looking to return to normal activities sooner.

What Are the Benefits of Herniotomy?

• No Mesh-related Complications – The repair uses the body’s natural tissue, avoiding risks such as infection, inflammation or rejection associated with synthetic mesh.
• Shorter Procedure Time – The surgery typically takes only 30 to 45 minutes, making it quicker than most mesh-based or laparoscopic hernia repairs.
• Faster Recovery – Many patients can return home on the same day and resume normal activities within a short time.
• Low Risk of Recurrence – When performed correctly, herniotomy offers a very low recurrence rate, especially in children with congenital hernias and healthy tissue.

Recovery and Post-Operative Care

After herniotomy, patients are usually monitored for a few hours in the recovery room before being discharged, often on the same day. Mild soreness, swelling, or bruising near the incision is common but usually improves within a few days. Following post-surgery instructions can help make recovery smoother.

Recovery Tips After Herniotomy

To prevent complications post-surgery, your surgeon may recommend the following:

• Prioritise Rest – Give your body time to heal by avoiding strenuous activity or heavy lifting during the first few days after the operation.
• Use an Ice Pack – Apply a cold compress to the surgical area at short intervals during the first 24 to 48 hours to help reduce swelling and discomfort.
• Keep the Incision Clean and Dry – Follow your doctor’s guidance for gentle wound care and change dressings as needed to prevent infection.
• Take Prescribed Medications – Take pain relief or antibiotics according to your doctor’s instructions to manage discomfort and support recovery.
• Attend Follow-up Appointments – Regular check-ups enable your doctor to monitor healing, remove sutures if required and address any early concerns.
• Watch for Warning Signs – Contact your healthcare provider if you notice redness, pus, persistent pain, or fever, as these may indicate an infection or other issue needing prompt attention.