What Is the Best Treatment for an Inguinal Hernia?

There is no single inguinal hernia treatment that can automatically be described as "best" for every patient.

The appropriate approach depends on factors such as symptoms, age, general health, the characteristics of the hernia and previous surgery.

Understanding the main options can help patients have a more informed conversation with their healthcare professional.

Watchful Waiting

For some men with an inguinal hernia causing few or no symptoms, immediate repair may not be necessary.

Watchful waiting involves monitoring the condition and considering repair if symptoms subsequently develop or worsen. International guidance recognises this as an option for appropriately selected patients. Read More

Open Hernia Repair

Open repair involves accessing the hernia through an incision in the groin.

The hernia is repaired and the abdominal wall is commonly reinforced using mesh.

It is a well-established approach used around the world.

Laparoscopic or Keyhole Repair

Keyhole surgery uses several small incisions and specialised instruments to access and repair the hernia.

General anaesthesia is commonly required for laparoscopic inguinal hernia repair. Read More

What Determines the Best Approach?

The decision can involve factors such as:

  • Hernia characteristics

  • Previous hernia repairs

  • Patient health

  • Anaesthesia

  • Surgeon expertise

  • Recovery considerations

  • Potential risks and benefits

The best treatment is therefore an individual clinical decision rather than simply choosing the newest technique.

What Could Come Next?

Medical technology continues to investigate whether inguinal hernia repair can become even less invasive.

PerQHern is developing a percutaneous system intended to provide a new method of accessing and repairing an inguinal hernia.

If successful through appropriate development and clinical evaluation, technologies such as these could add another option to the evolution of hernia treatment.

The ultimate objective should remain the same:

providing patients with safe, effective and durable treatment while minimising the burden of the procedure wherever possible.

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Can an Inguinal Hernia Heal Without Surgery?