Laparoscopic Hernia Repair
Treatments and Procedures
What Is Hernia Repair?
through several small incisions rather than one larger cut. Often referred to as keyhole surgery, this approach allows the surgeon to repair the weakened area of the abdominal wall using specialised surgical instruments and a high-definition camera.
The aim is to return the protruding tissue or hernia sac to its correct position and strengthen the weakened muscle or tissue to reduce the risk of the hernia returning.
Laparoscopic hernia repair is commonly used to treat several different types of hernia and offers many patients a quicker recovery and less discomfort than traditional open surgery.
Why Might You Need Hernia Repair Surgery?
Hernia repair surgery may be recommended if your hernia is causing pain, increasing in size, or affecting your daily activities.
While some small hernias can be monitored, surgery is usually advised when symptoms become persistent or there is a risk of complications. Common reasons for surgery include:
-
Pain or discomfort during activity
-
A visible lump in the groin or abdomen
-
A hernia that is increasing in size
-
Difficulty carrying out everyday activities
-
A hernia that cannot be pushed back into place
-
Risk of the blood supply becoming trapped
Laparoscopic repair may be suitable for several hernia types, including inguinal hernia repair, certain femoral hernias, and some incisional hernias.
Which Hernias Can Be Treated?
Laparoscopic surgery is most commonly performed for hernias affecting the groin and abdominal wall. These include:
-
Inguinal hernias
-
Femoral hernias
-
Some recurrent hernias
-
Selected incisional hernias
Your surgeon, Mr Hornby, will assess whether a laparoscopic approach is the most appropriate treatment based on the type, size and position of your hernia.
What Happens During the Procedure?
Laparoscopic hernia surgery is usually performed under a general anaesthetic, meaning you will be asleep throughout the operation. During the procedure:
-
Several small incisions are made in the abdomen.
-
A laparoscope (a thin camera) is inserted.
-
Fine surgical instruments are used to carefully return the hernia contents to their correct position.
-
The weakened area of the abdominal wall is strengthened, usually using surgical mesh.
-
The incisions are closed with stitches.
The procedure generally takes between 30 minutes and 90 minutes, depending on the complexity of the hernia.
For more information about hernia conditions that may require laparoscopic hernia repair, see our pages on Inguinal Hernia, Incisional Hernia, and Paraumbilical Hernia.
To learn more about the procedures used to treat upper gastrointestinal and abdominal conditions, see our pages on Cholecystectomy, Therapeutic Endoscopy, Diagnostic Endoscopy, and Upper GI Endoscopy.
Laparoscopic Surgery vs Open Surgery
laparoscopic approach may offer several benefits, including:
-
Smaller incisions
-
Less postoperative discomfort
-
Reduced scarring
-
Faster recovery
-
Earlier return to work and normal activities
-
Lower risk of wound infection
However, not every patient is suitable for laparoscopic repair. In some cases, an open procedure may provide the safest and most effective option.
Mr Hornby will discuss the most appropriate approach for your individual circumstances.
Preparing for Surgery
Before your operation, you will attend a pre-operative assessment. This allows your healthcare team to:
-
Review your medical history
-
Discuss your symptoms
-
Explain the procedure
-
Arrange any necessary investigations
-
Provide fasting instructions
-
Discuss your current medications
Most laparoscopic hernia repair procedures are carried out as day-case surgery.
Recovery After Laparoscopic Hernia Repair
Recovery following laparoscopic hernia repair is generally quicker than after traditional open surgery.
Most patients can walk within a few hours of the procedure and return home the same day or after an overnight stay.
It is normal to experience:
-
Mild bruising
-
Swelling around the repair site
-
Temporary pain after surgery
-
Mild discomfort when moving
Your surgeon, Mr Hornby, will provide advice about:
-
Driving
-
Returning to work
-
Exercise
-
Lifting heavy objects
-
Wound care
Many patients resume office-based work within one to two weeks, although strenuous activity should usually be avoided for several weeks after surgery.
Are There Any Risks?
As with any surgical procedure, there are potential risks and complications, although serious problems are uncommon. These may include:
-
Bleeding
-
Infection
-
Fluid collection around the repair
-
Temporary numbness
-
Persistent discomfort
-
Injury to surrounding structures
-
Blood clots
-
Reaction to the anaesthetic
Your surgeon, Mr Hornby, will discuss any individual risk factors before your operation.
Can a Hernia Return?
Although modern repair techniques are highly successful, there remains a small risk of hernia recurrence. The likelihood depends on several factors, including:
-
The type of hernia
-
Smoking
-
Obesity
-
Heavy lifting after surgery
-
Previous hernia repairs
-
Certain underlying medical conditions
Following your surgeon's recovery advice helps reduce the chance of recurrence.
Is Laparoscopic Hernia Repair Right for You?
A laparoscopic hernia repair is a safe and effective treatment for many patients with groin and abdominal wall hernias.
The minimally invasive approach allows the hernia to be repaired through small incisions, helping many people recover more quickly while reducing postoperative discomfort.
Your surgeon, Steve Hornby, will carefully assess your symptoms, examination findings and medical history before recommending the most appropriate treatment for your individual needs.

1
Initial consultation
Book an appointment with Steve Hornby, consultant general surgeon, to discuss your symptoms, concerns, and medical history. You will have time to ask questions and receive clear information about possible next steps.
2
Personalised treatment plan
Care tailored to you. Following your consultation, a clear treatment plan is created based on your diagnosis, needs, and goals. This may include further investigations, treatment options, or preparation for surgery where appropriate.
3
Treatment and recovery support
Care that continues beyond treatment. If surgery is required, it is delivered in modern clinical facilities, with recovery supported through onsite physiotherapy and follow-up care. Ongoing reviews ensure your recovery stays on track.
Ready to talk things through?
If you have questions or would like to discuss your symptoms, we’re here to help. You’re welcome to call 01242 386579, email admin@thehornbygroup.com, or use the contact form to get in touch.
