Most groin hernias, epigastric hernias and paraumbilical/umbilical hernias are corrected as day-case operations.
The majority of incisional hernias and parastomal hernias require 1-5 nights in hospital depending on the complexity of the hernia and the type of operation required.
Laparoscopic ('keyhole') surgery is often suitable for unilateral groin hernias (inguinal and femoral), bilateral groin hernias, obturator hernias and some very small ventral abdominal wall hernias.
Open surgery ( involving 'a cut over the hernia') is generally advised for umbilical/paraumbilical hernias, most incisional and parastomal hernias, and many rarer hernias eg traumatic, perineal, Spigelian.
There are several 'patient related factors' which should be optimised prior to surgery:
Abdominal wall reconstruction is a specific term for repair of large or complex ventral or incisional hernias. The aim of the operation is to re-join the abdominal wall muscles in the midline of the abdominal wall.
Abdominal wall reconstruction may often necessitate a CT scan to aid surgical planning.
Abdominal wall reconstruction may require injection of Botox a few weeks before surgery to increase the chances that the abdominal wall muscles can be re-joined.
Abdominal wall reconstruction typically takes around 3-5 hours. Typical length of stay is around 5 days.
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