Inguinal hernia surgery

An inguinal hernia manifests as a soft lump on one or both sides of the groin. The lump usually goes back in when you lie down, when stomach pressure decreases or when you press it with your hand. A hernia is not necessarily painful, but it can cause pain and other symptoms, particularly when you move.

An inguinal hernia can be diagnosed by a physician. No lab tests or scans are needed. Home care or medication cannot cure an inguinal hernia. The only effective treatment is surgery (TAPP or TEP surgery).

Inguinal hernias are the most common type of hernias. An inguinal hernia is caused by a mostly hereditary weakness in the area between the lower abdominal muscles, which causes a bulge to appear. This bulge is called a hernia. When you stand up, you put more pressure on the hernia which makes it bigger.

There are two types of inguinal hernia: direct and indirect. A direct inguinal hernia protrudes through weak areas on both sides of the rectus abdominis muscle (i.e. the large, central abdominal muscle). This type of hernia usually appears on both sides. Indirect hernias usually only appear on one side, and are caused by tissues protruding into the inguinal canal. Both types of inguinal hernia look the same.

Apart from inguinal hernias, femoral hernias are also treated surgically. A femoral hernia is caused by a weakness in the femoral canal, below the inguinal ligament. 

The most effective surgical treatment is a keyhole procedure, during which the weakened tissue is replaced with a mesh patch. The patch is larger than the weakened area, which makes it secure. The mesh is make of a material which is not rejected by the body. Tissues are not forcibly connected, so a repaired hernia is rarely painful. You will only see three small stitched-up incisions in the skin. The stitches are removed after about a week. It takes around three months for the mesh to fix into position. During this time, you should avoid putting too much stress on your body. You will need around one week of sick leave.


Airo Ilari

Gastroenterological Surgeon, Surgeon

Lic. Med., Specialist in Gastroenterology and Surgery. Gastroscopy, colonoscopy, hernias, gall bladder, gastrointestinal surgeries, anal disorders, rubber band ligations (RBL)

Kyhälä Lea

Gastroenterological Surgeon, Surgeon

Specialist in Gastroenterological Surgery. Inguinal hernia, umbilical hernia, ventral hernia, gallstones, endoscopic operations, sorting out stomach problems, gastroscopy, proctoscopy, rubber band ligations (RBL), anal fissures, minor surgical procedures