Hernia Repair Surgery

Open Hernia Repair
Our surgeons have performed thousands of hernia repair procedures.
We specialise in open hernia repair surgery under local anaesthetic, set in modern community healthcare facilities.
What is a hernia?
Hernias are typically harmless, however they will not go away on their own and surgery is the only permanent cure.
A hernia is a bulge or abnormal protrusion of the abdominal wall. They develop at a point of weakness in the wall, or where there is a defect in the muscle. As the hernia enlarges a bulge appears which is most easily seen when standing or coughing. Lying down allows the tissue to return to its proper position, and the bulge may disappear temporarily.
Hernias typically contain abdominal fatty tissue or bowel, enclosed within a thin membrane or sac called the peritoneum. This normally lines the inside of the abdominal cavity.
The most common areas to develop a visible hernia are the lower abdomen (inguinal) and groin (femoral), which may give rise to a painful lump under the skin.

What are the symptoms of a hernia?
A hernia will typically appear as a bulge around your abdominal or groin area.
They do not usually cause significant pain, however it can feel tender when you strain your abdominal muscles. Sometimes, you may experience a slight burning sensation or a feeling of heaviness in the bulge.
You may have a reducing hernia if the bulge can be pushed back in or if it disappears when you lie down. Conversely, if the bulge stays out then it is considered irreducible.
It is important to note that if you feel any pain is worsening, you must contact your GP immediately. This could mean the hernia is ‘stuck’ (strangulated), which can damage tissue and require urgent treatment.
Why do hernias develop?
There are many things that can cause a weakness in the abdominal wall including:
What types of hernia can we treat?
There are many different types of hernia. The type is defined by where the hernia occurs on the body, with the majority occurring in the abdominal wall.
We are able to help with the majority of cases here at Cumbria Surgical Services, including – Inguinal, Femoral, Umbilical, Epigastric and Spigelian hernias.
All our hernia repair procedures are carried out under local anaesthetic. A handful of cases are not suitable for repair in this way and require laparoscopic (keyhole) surgery under general anaesthetic. Such types of hernia include incisional hernias (those that occur in a scar from a previous operation), sports hernias (not strictly a hernia but chronic groin pain usually associated with exercise), and recurrent hernias. If this is the case for you then we can offer a follow on referral to an alternative surgeon to further advise on your treatment options.


