Inguinal Hernias
Understanding Inguinal and Groin Hernias
As a surgeon, I often see patients with inguinal or groin hernias, which occur when abdominal contents push through a weakened spot in the lower abdominal wall. These hernias are far more common in men than in women, largely due to differences in anatomy, but when they occur in women, they can sometimes be more difficult to diagnose and may carry a slightly higher risk of complications. Symptoms often include a visible bulge, discomfort with lifting or coughing, and sometimes sharp pain in the groin.
How Surgery Used to Be Performed
In the past, hernia surgery meant a large incision in the groin and the placement of sutures to reinforce the weakened area. This open approach was effective but often left patients with significant pain, longer recovery times, and recurrence rates that were higher than we see today. Even when mesh was introduced to strengthen the repair, open techniques still carried the risk of nerve irritation, infections, and extended time away from normal activities.
Robotic-Assisted Repair Today
The robotic-assisted approach has changed the way we manage hernias. Through small keyhole incisions, I can use robotic instruments that provide magnified 3D visualization and precise movements to repair the hernia from inside the abdominal wall. This allows me to place mesh in a tension-free way with much less trauma to the surrounding tissues. The result is less pain, fewer wound complications, and recurrence rates that are lower than what we traditionally saw with open techniques. For most patients, robotic repair offers both safety and durability.
Recovery and Resumption of Activities
One of the greatest benefits of robotic surgery is the speed of recovery. Where older open techniques could sideline patients for six weeks or longer, most of my robotic patients are back to light activities within a few days and return to work, exercise, and daily routines much more quickly. While I recommend avoiding heavy lifting for a few weeks, the majority of patients are back to presurgical activities far sooner than they expect. This quicker return to normal life is one of the most appreciated aspects of minimally invasive hernia repair.
Differences Between Men and Women
While inguinal hernias are far more common in men, women can also develop groin hernias, often as femoral hernias. These can be subtler and at times more serious, since they carry a higher risk of bowel becoming trapped. The robotic approach is especially valuable in women, as it allows me to fully visualize both inguinal and femoral spaces to ensure that no hidden hernias are missed. Regardless of gender, the robotic technique provides a safer, more thorough, and longer-lasting repair, helping patients move forward with confidence that their hernia has been effectively treated.