Inguinal Hernia | Advanced Surgical & Bariatrics of NJ

Inguinal Hernia

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What causes an Inguinal Hernia?

Everyone has natural weak point(s) in various areas of the abdominal wall due to their normal anatomy. One of these areas is in the groin (inguinal region). For children, hernia development can be congenital, but adults can develop this type of hernia as a result of strenuous activities, chronic cough, or chronic straining from difficulties with bowel movements or urination.


Symptoms of an Inguinal Hernia

Usually a bulge in the groin is the first sign of an inguinal hernia. It can be associated with an ache that gradually gets worse as the day proceeds.  Signs that an inguinal hernia is entrapped or strangulated are tenderness, redness of the overlying skin, severe unremitting pain, and the bulge not being able to be reduced or pushed back in.  These are serious symptoms that must be treated immediately.  Fortunately, it is very rare for inguinal hernias to become incarcerated or strangulated, and most are safely able to wait to be repaired electively.  Groin pain that occurs during activities such as sports, running, or exercise may be a different clinical entity called a “sports hernia”, which is actually not a true hernia, but rather a pain disorder caused by underlying core muscle imbalances.

Minimally Invasive Inguinal Hernia Repair

Our surgeons at Advanced Surgical and Bariatrics of NJ specialize in the laparoscopic and robotic approach to inguinal hernia repair, which offers patients a shorter recovery and sooner return to work and daily activities.  Minimally invasive inguinal hernia repair with mesh is also associated with a much lower risk of long-term chronic pain versus the traditional open approach.  At Advanced Surgical and Bariatrics of NJ, our surgeons will examine you and decide if the minimally invasive approach is right for you.

How is the Procedure Performed?

There are two general options for inguinal hernia repair: the open approach and the minimally invasive (laparoscopic or robotic) approach.  The open approach requires a long incision in the groin area.  The hernia defect is identified and repaired using a piece of surgical mesh to reconstruct the inguinal floor.  Local anesthetic and sedation, spinal anesthetic, and  general anesthesia are options for this procedure.  In a minimally invasive inguinal hernia repair, 3 small incisions are made where a small thin camera and two working instruments are inserted through the abdominal wall. The layers of the abdominal wall are separated and the space is maintained with carbon dioxide gas. This grants the surgeon access to the hernia defect and the surrounding tissues and allows for dissection and placement of the mesh to reconstruct the inguinal floor from the inside.  Minimally invasive inguinal hernia repair is always done under general anesthesia.

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I love these doctors and staff. I came here needing help with my weight and health issues and they did it. They did what many other doctors couldn’t. Everyone is nice and helpful no matter how many questions or times I call. Very professional and caring. They literally saved me and made my life better. I highly recommend them, you won’t regret it.

Dawn L.

What complications can occur?

For inguinal hernia repair, primary complications associated with the operation are extremely rare.  There is a low risk of injury to blood vessels, nerves, the bladder, the intestines, and spermatic cord leading into the testicle. Your individual risk for these complications be reviewed with your surgeon at Advanced Surgical and Bariatrics of NJ during your consultation for surgery. For many patients after open or minimally invasive repair, there can be swelling and bruising of the abdominal wall and scrotal region. This is normal and will steadily decline and resolve completely with time. Despite the low rates of hernia recurrence after repair, a hernia can come back at any time.  At Advanced Surgical and Bariatrics of NJ we encourage our patients to review and ask questions about their specific risks, complications, and how to best reduce their risk of recurrence after repair.

Dr. Sadek

Dr. Ragui Sadek is a premier surgeon who established a state-of-the-art and one of the safest bariatric surgery programs in the state. Dr. Sadek has fellowship training in both laparoscopic/bariatric surgery and surgical trauma/critical care, allowing him to safely perform complex surgeries on patients who have been turned down by other practices. As a Clinical Assistant Professor of surgery at RWJ Medical School & the Director of bariatric surgery program at RWJ University Hospital, Dr. Sadek offers a cutting-edge range of laparoscopic, robotic, & bariatric surgical procedures with a complication rate substantially below the national average.

Dr. Sadek is a Clinical Assistant Professor of Surgery at Rutgers-Robert Wood Johnson Medical School and a Fellow of the American College of Surgeons. Having performed more than three thousand advanced surgical procedures, Dr. Sadek has established a strong patient satisfaction rate and a solid reputation among the surgical community and is renowned as a top physician in his field by International Association of Healthcare Professionals. As a board-certified surgeon, he holds affiliations with the American Society of Metabolic and Bariatric Surgery and the Society of American Gastro Endoscopic Surgeons. More about Dr. Sadek

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