- Resolution of Symptoms: The procedure effectively eliminates the pain, discomfort, or other symptoms caused by the hernia, allowing patients to resume normal daily activities without limitations.
- Prevention of Hernia Progression: Repairing the hernia stops its progression, reducing the risk of it becoming larger or leading to complications such as tissue strangulation or bowel obstruction.
- Long-Term Stability: Surgical repair provides a durable solution, often involving the use of synthetic mesh to strengthen the affected area and minimise the likelihood of recurrence.
Inguinal Hernia Repair

Dr Chong Choon Seng
MBBS | MRCS | Masters in Medicine (Surgery) | FRCS (Edinburgh)
Inguinal hernia repair is a surgical procedure used to correct an inguinal hernia, a condition where tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles, usually in the groin area. The procedure involves repositioning the protruding tissue and reinforcing the weakened area to restore the natural anatomy and reduce the risk of complications.




Indications for Inguinal Hernia Repair
This surgery is performed when specific symptoms or conditions indicate the need for intervention to address the hernia.
- Pain or Discomfort in the Groin: Persistent or worsening pain, particularly during physical activities such as lifting, bending, or prolonged standing, may indicate the need for surgical repair. If untreated, this discomfort can become more pronounced over time.
- Noticeable Bulge in the Groin Area: A visible or palpable bulge that increases in size with activities such as coughing, straining, or standing often suggests a hernia requiring surgical correction. The bulge may reduce when lying down but can worsen without treatment.
- Risk of Complications: Hernias that are at risk of complications, such as incarceration (where the tissue becomes trapped) or strangulation (where the blood supply to the tissue is cut off), necessitate surgical repair to prevent serious health issues like tissue damage or bowel obstruction.
- Failure of Non-Surgical Measures: Supportive options, such as hernia trusses or belts, may provide temporary relief but do not address the underlying issue. Surgery is required when these measures fail to manage symptoms effectively.
Benefits of Inguinal Hernia Repair
Inguinal hernia repair provides several outcomes that directly address the condition and improve the patient’s quality of life.
Surgical Techniques
Different surgical techniques are available to address inguinal hernias, tailored to the patient’s condition and surgical goals.
Open Hernia Repair
This traditional approach involves a single incision made in the groin to directly access the hernia. The protruding tissue is repositioned, and the weakened area is reinforced with sutures and often a synthetic mesh. This method is commonly used for larger or complex hernias and requires a slightly longer recovery period compared to minimally invasive methods.
Laparoscopic Hernia Repair
This minimally invasive technique uses small incisions to insert a camera (laparoscope) and surgical instruments. The hernia is repaired internally, and a mesh is placed to reinforce the area. This method is associated with faster recovery, less post-operative pain, and smaller scars, making it suitable for patients with bilateral or recurrent hernias.
Preparing for the Procedure
Medical Evaluation
A detailed assessment, including a review of medical history, physical examination, and imaging studies (such as ultrasound or CT scans), is conducted to confirm the diagnosis and plan the surgery.
Medication Adjustments
Patients taking blood-thinning medications, such as aspirin or warfarin, may need to stop these drugs temporarily before surgery to reduce the risk of bleeding. The surgeon will provide specific instructions based on the patient’s health status.
Pre-operative Guidelines
Patients are usually required to fast for 6-8 hours before surgery to ensure an empty stomach during the procedure. They are also advised to avoid smoking and alcohol, as these can interfere with healing and anaesthesia.
Step-by-Step Procedure
Anaesthesia Administration
The procedure begins with administering general or regional anaesthesia, depending on the patient’s medical condition and the surgical method chosen. This ensures the patient remains comfortable and pain-free during surgery.
Incision or Port Placement
In open repair, a single incision is made over the hernia site to provide direct access. For laparoscopic repair, small incisions are made to insert the laparoscope and surgical instruments. These approaches provide visibility and access to repair the hernia effectively.
Hernia Reduction
The herniated tissue is carefully repositioned back into the abdominal cavity. Any damaged tissue is assessed and treated as necessary to ensure proper anatomical function.
Mesh Placement
A synthetic mesh is positioned over the weakened area to reinforce the abdominal wall. The mesh is secured using sutures, staples, or tacks, depending on the chosen method, to provide long-term support and prevent recurrence.
Wound Closure and Dressing
The incisions are closed using sutures, staples, or surgical glue. A sterile dressing is applied to protect the surgical site and minimise the risk of infection.
Are Your Symptoms Affecting Your Quality of Life?
Consult our MOH-accredited specialist for an accurate diagnosis & personalised treatment plan today.

Post-Surgical Care and Recovery
- Immediate Care: After surgery, patients are monitored in the recovery area to ensure stable vital signs and to manage any side effects of anaesthesia. Pain relief is provided, and patients are assessed for readiness to be discharged if the procedure is outpatient.
- Recovery Process: Patients are encouraged to avoid strenuous activities, heavy lifting, or intense physical exertion for 4-6 weeks. Light activities, such as walking, are recommended to promote circulation and reduce the risk of blood clots. Adherence to activity restrictions is necessary to ensuring proper healing.
- Wound Care: Patients are instructed to keep the surgical site clean and dry. Dressings should be changed as advised by the surgeon, and any signs of infection, such as redness or swelling, should be reported immediately.
- Follow-up Appointments: Regular follow-ups are scheduled to monitor healing progress and assess for any complications. The surgeon will provide guidance on gradually resuming normal activities and address any concerns during these visits.
Potential Risks and Complications
While inguinal hernia repair is generally effective, there are potential risks, including infection, bleeding, seroma formation (fluid build-up), recurrence of the hernia, and chronic groin pain. Rarely, there may be nerve or tissue damage. Prompt medical attention should be sought if severe symptoms develop post-surgery.
Frequently Asked Questions
Can an inguinal hernia recur after surgery?
While recurrence is uncommon, it is possible if the repair area experiences excessive strain or if there are underlying issues such as weak connective tissue.
Will I have any long-term restrictions after recovery?
Once fully recovered, most patients do not face any long-term restrictions. However, maintaining a healthy lifestyle, avoiding heavy lifting, and practising good posture can help prevent recurrence.
Are there non-surgical treatments for inguinal hernias?
Non-surgical methods, such as wearing a supportive belt or truss, may temporarily relieve symptoms. These options, however, do not repair the hernia or stop it from worsening. Surgery is the only definitive treatment.
Partnered Programmes & Insurance Plans
For Singaporeans, Singapore Permanent Residents and Foreigners. Please speak to our friendly clinic staff about using your insurance plans.
















Dr Chong Choon Seng
MBBS (NUS)
MRCS (Edinburgh)
Masters in Medicine (Surgery)(NUS)
FRCS (Edinburgh)
Dr Chong is the former Program Director of General Surgery Residency at NUHS, and has more than 10 years of experience as a colorectal and general surgeon.
As an esteemed professional in minimally invasive surgery, Dr. Chong remains committed to achieving optimal outcomes for all surgical conditions, from piles to cancer treatment.
contact us
Please leave us a message and our friendly clinic staff will get back to you as soon as possible. For urgent or same day appointments, kindly call the clinic to arrange an appointment.
Our Clinic Locations
Ark Surgical Practice – Mouth Elizabeth Medical Centre
3 Mount Elizabeth, #17-01
Singapore 228510
Monday to Friday: 9am – 5pm
Saturday: 9am – 12:30pm
Sunday & Public Holidays: Closed
Ark Surgical Practice – Mount Elizabeth Novena Hospital
38 Irrawaddy Road, #09-34
Singapore 329563
Monday to Friday: 9am – 5pm
Saturday: 9am – 12:30pm
Sunday & Public Holidays: Closed