If you’ve been told you need hernia surgery, chances are you’ve come across two main options – open surgery and laparoscopic surgery. But what exactly is the difference between them? And how do you know which one might be more suitable for you?
Let’s break it down so you can feel more informed and prepared for your next step.
First, What’s a Hernia?
A hernia happens when part of an organ or tissue pushes through a weak spot in your muscles, often causing a visible lump and discomfort. It commonly appears in areas like the groin (inguinal hernia), belly button (umbilical hernia), or upper stomach (hiatal hernia).
Surgery is usually recommended if the hernia causes pain or interferes with daily life.
What is Open Hernia Surgery?
Open surgery is the traditional approach. The surgeon makes a cut directly over the hernia site, gently pushes the bulging tissue back in place, and repairs the weakened muscle wall. Sometimes, a mesh is used to strengthen the area and help prevent the hernia from coming back.
Recovery time: Most people can get back to light activities within 1–2 weeks, but full recovery may take about 4–6 weeks.
Scar size: Since it involves a larger incision, the scar is usually more visible.
Risk of recurrence: Low, especially when mesh is used.
Good for: Larger or complex hernias, or when laparoscopic surgery isn’t suitable due to past surgeries or other factors.
What is Laparoscopic Hernia Surgery?
This technique involves several small cuts instead of one large one. A tiny camera and tools are inserted through the small incisions, allowing the surgeon to repair the hernia from the inside, usually with mesh.
Recovery time: People often return to normal activities a bit sooner, sometimes within 1–2 weeks.
Scar size: Minimal – just a few tiny marks.
Risk of recurrence: Similar to open surgery when mesh is used.
Good for: Smaller hernias or when the patient prefers a quicker recovery and smaller scars. It’s also sometimes preferred if both sides of the groin have hernias (bilateral).
So, Which One is Right for You?
There’s no one-size-fits-all answer. The right type of surgery depends on factors like:
- The location and size of your hernia
- Whether this is your first hernia or a recurrence
- Your general health and previous surgeries
- Your daily routine and how quickly you’d like to return to it
Some people don’t mind a slightly longer recovery if it means a more hands-on repair. Others prefer a quicker bounce-back with less visible scarring. It depends on your case and what matters to you.
What About Risks?
All surgeries come with some level of risk. Both open and laparoscopic procedures are generally safe, but there can be complications such as infection, bleeding, or the hernia coming back. Your surgeon will walk you through what to expect and how to reduce these risks after surgery.
Let’s Talk It Through
Deciding on surgery can feel overwhelming, especially when you’re weighing different options. That’s where a personalised conversation makes all the difference.
At LS Lee Surgery, Dr Lee Lip Seng, Senior Consultant Hepatopancreatobiliary (HPB) Surgeon, is here to guide you through your options with care and experience. Whether you’re dealing with a simple groin hernia or a more complex case, you’ll have the support and information you need to make a confident decision.
Get in touch to book a consultation and find the approach that suits your needs and lifestyle.
You don’t have to figure it all out alone – let’s take the next step together.
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