When patients come to me with a hernia, they often start the conversation with worry. “Doctor, is this dangerous?” or “Will I need a big surgery?” These concerns are completely natural. Let me reassure you – today, hernia treatment has advanced significantly, and with minimal access (keyhole) surgery and modern abdominal wall reconstruction, we can treat most hernias safely, effectively, and with much faster recovery than in the past.

A hernia occurs when an internal organ or tissue pushes through a weak spot in the abdominal wall. You may notice it as a bulge in the groin, near a previous surgical scar, or around the belly button. Hernias can cause discomfort, pain while lifting or coughing, and sometimes digestive issues. While some hernias may start small, they do not heal on their own and usually need surgical repair.

What is minimal access hernia surgery?

Minimal access surgery, also known as laparoscopic or keyhole surgery, allows us to repair hernias through very small cuts instead of one large incision. Using a tiny camera and specialized instruments, we repair the weak area from inside the abdomen.

For you as a patient, this means:

• Smaller scars and better cosmetic results
• Less pain after surgery
• Lower risk of infection
• Faster recovery and earlier return to normal activities

Most patients are surprised by how quickly they feel better. Many go home the same day or within 24 hours.

How is the hernia repaired?

During the procedure, we gently place a surgical mesh over the weak area. Think of the mesh as a strong, flexible patch that reinforces the abdominal wall. Over time, your own tissue grows into this mesh, creating a durable repair.

Patients often worry about mesh, and this is understandable. When used correctly and in the right patients, modern medical-grade mesh is safe, well-studied, and widely accepted worldwide. Choosing the correct type of mesh and placing it in the proper layer is a key part of a successful outcome – and this is where surgical expertise matters most.

What is abdominal wall reconstruction?

Some hernias are more complex – especially those that develop after previous surgeries or have been present for many years. In these cases, the abdominal muscles may be stretched apart or weakened significantly. This is where abdominal wall reconstruction comes in.

Abdominal wall reconstruction is a specialized procedure that restores the natural anatomy of the abdominal muscles. Using advanced techniques, we bring the muscles back to their original position, reinforce them with mesh if needed, and rebuild the strength of the abdominal wall. Whenever possible, we combine this with minimal access techniques to reduce trauma and improve healing.

This approach not only fixes the hernia but also improves posture, core strength, and overall comfort in daily life.

Is the surgery safe?

Yes – when performed by trained surgeons in experienced centres, minimal access hernia surgery and abdominal wall reconstruction are very safe procedures. Before surgery, we carefully evaluate your overall health, previous surgeries, lifestyle, and work demands. This helps us customize the treatment plan specifically for you.

What should you expect after surgery?

Recovery is usually smooth. You will be encouraged to walk on the same day of surgery, as movement helps healing. Mild discomfort is expected, but it is usually well controlled with medications. Most patients return to desk work within a few days and resume normal activities gradually over a few weeks.

A lasting solution, not just a repair

I always tell my patients that hernia surgery today is not just about closing a gap – it is about restoring strength and confidence. With modern minimal access techniques and thoughtful abdominal wall reconstruction, we aim for a repair that is strong, durable, and allows you to return to life without fear or limitation.

If you have a hernia, seeking timely medical advice is the first step toward a safe and lasting solution.