Just one simple operation
Hernias are very common and occur anywhere there is a weakness in the abdominal wall. Groin hernias are extremely common particularly in men. At birth, the testicles descend out of the abdomen leaving weak areas in the groins. As men get older these weaknesses get bigger and groin hernias occur (known as inguinal hernias).When they occur through a previous abdominal incision they are called incisional hernias. Other hernias are called femoral hernias, usually occurring in women, umbilical or ventral hernias in the middle of the abdomen around the umbilicus, and Spigelian hernias which occur above inguinal hernias.
Most people, men and women, should be offered keyhole surgery which is now recommended by most hernia societies around the world. Recovery is quicker, there is less pain and less scarring. The keyhole or laparoscopic repair is performed under a full general anaesthetic, as a day case using three tiny incisions near the navel. A mesh is used to reinforce the weakness.
The operation is known as a laparoscopic inguinal hernia repair. It has excellent results and recovery is a matter of days.
Professor David Lloyd has been a pioneer in inguinal hernia surgery for nearly three decades.. He has performed thousands of operations including both laparoscopic and open. He is referred patients from all over the UK and the rest of the world and is considered a world leader in hernia surgery. He is one of the world’s most experienced laparoscopic hernia surgeons and runs a national hernia course three times a year in Leicester performing live surgery. He specialises in groin surgery and groin pain and developed the Lloyd Release Procedure to treat groin pain in athletes and non-athletes. He has a keen interest in groin anatomy and has even discovered a new type of inguinal hernia.
Umbilical or Ventral Hernias
Small hernias measuring under a few centimetres in diameter can be repaired through a small incision near the umbilicus and the weakness closed and reinforced with strong sutures. Keyhole surgery is not necessary. Bigger hernias measuring around 4 – 6 cm in diameter should have keyhole surgery whereby the weakness is closed with sutures and the area reinforced with a mesh which is placed inside the abdomen beneath the weak area.
Very large hernias (over 10 cm diameter) should have open surgery with the weakness closed and a mesh placed within the muscle layers. This is known as a retro-rectus repair or a sub-lay repair.
Hernias which occur through a previous incision or patients with very large hernias should be repaired by hernia specialists. Relatively small hernias under 10 cm could possibly be treated with keyhole surgery using a mesh. Larger hernias will require open surgery with a mesh. More complex hernias can take 3 – 4 hours to repair and require component separation whereby the oblique muscles of the abdomen are mobilized towards the centre of the abdomen for additional reinforcement.
Professor Lloyd has performed thousands of hernia operations and has an international reputation. For more information about hernia surgery contact Professor David Lloyd.
A femoral hernia is an uncommon condition, which usually occurs when fatty tissue or a part of your bowel pokes through into your groin at the top of your inner thigh. Affecting mainly older women (because of the wider shape of the pelvis), the femoral hernia pushes through a weak spot in the surrounding muscle wall (abdominal wall) into an area called the femoral canal.
Femoral hernia surgery, which can be carried out through laparoscopic femoral hernia repair, is a quick process which involves pushing the hernia back into place and strengthening the weakness in the abdominal wall.
What to do now…
During your consultation, you will be able to ask any questions you want, so don’t be afraid to ask any question relating to your groin pain. It may be easier to make a note of any changes you’ve noticed in preparation for the consultation.
Professor David M Lloyd
Professor of Surgery and Consultant Surgeon specialising in Hepatobiliary Surgery, Gall Stone Surgery, Hernia Surgery and Surgery for Groin Pain.
Copyright ©2023 Professor David M Lloyd