Treatment methods

A groin hernia should always be treated with surgery

A groin hernia never heals by itself, it gets bigger with time. There is also the rare but life-threatening danger of intestinal constriction. Therefore, if you suspect that you have a groin hernia, you should consult your GP and, if necessary, undergo examination by a specialist. You should seek immediate medical attention in the event of a known hernia and acute severe pain accompanied by vomiting and constipation. 

Surgical treatment methods

Groin hernia surgery

Only a groin hernia operation helps to safely close the gap and prevent an emergency situation. 
The benefit of groin hernia surgery in patients without symptoms is not fully understood. Due to the fundamental risk of constriction, however, the advantages of groin hernia surgery outweigh the disadvantages (see International Guidelines for Groin Hernia Management 2018). 
Except for surgery on children and adolescents, we operate on groin hernias at Schoen Clinic using plastic nets that stabilise the abdominal wall.

Groin hernia operation: Technique

Most groin hernias today are treated using a minimally invasive camera technique through the abdomen (TAPP) or in front of the peritoneum (TEP). The operation usually takes place under general anaesthetic. The advantages: 
  • Both sides can be examined and treated during the operation.
  • Less pain directly after the operation and also later on
  • Immediate strength
  • Fewer renewed groin hernias after the operation compared to the surgical technique from the outside

General anaesthetic should be avoided for patients with previous operations (e.g. of the prostate), with very large hernias or with severe health restrictions. In these cases, open surgery with local anaesthetic is the procedure of choice. A net is also usually implanted here (Lichtenstein surgical technique).