PAID ADVERTISEMENT
Ask the Expert:
Jason Luciano, MD
Hernia repair is one of the most common surgical procedures. But does every hernia require surgery? How can you tell when it’ s time to consider treatment and which surgical option is right for you?
Jason Luciano, MD, general surgeon at UPMC St. Margaret, helps answer those questions.
Q A
Q A
What is a Hernia?
A hernia happens when tissue pushes through a weak spot in the abdominal wall, creating a soft bulge. It most often appears in the belly, groin, or upper thigh. Hernias may hurt— especially when lifting, coughing, or bending— but not all are painful. Even painless hernias can carry a risk of needing emergency surgery.
Hernias are common: About 10 % of people and up to 25 % of men in the United States will develop one in their lifetime.
Common types include:
• Epigastric hernias: Small bulges in the upper belly; you can have more than one.
• Inguinal hernias: The most common type, occurring in the groin; more frequent in men.
• Femoral hernias: Bulges near the inner upper thigh; more common in women.
What are the Different Types of Hernia Surgery?
• Incisional hernias: Develop at or near a prior surgical incision, sometimes months or years later.
• Umbilical hernias: Bulges near the belly button from a weak spot in the abdomen.
Hernia repair has advanced significantly, and we use the least invasive option that’ s appropriate for your hernia. The three main approaches include:
Open surgery: A single larger incision is made in the groin or abdomen. The surgeon moves the tissue back into place and repairs the muscle, commonly using mesh.
Laparoscopic: Several small incisions are made in the abdomen. Using thin instruments, the surgeon repairs the hernia from the inside. It’ s less invasive, but not always an option for very large hernias.
Robotic surgery: Similar to laparoscopic surgery but with robotic-assisted tools that offer more precision. Incisions are small, pain levels may be lower, and recovery is similar.