A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. Your muscles are usually strong and tight enough to keep your intestines and organs in place, but a hernia can develop if there are any weak spots.

The bulging groin can be extremely painful, and it becomes more upright when you cough or lift something heavy.

What is an Inguinal Hernia:

An inguinal hernia is the most common type of a hernia. It is the result of a protrusion of abdominal-cavity contents through the inguinal canal.


Here are some of the most common signs and symptoms:

  • An abnormal protrusion in the area on either side of your pubic bone, which becomes more prominent when you cough, strain or stand up
  • A burning or irritating sensation at the bulge
  • Pain around the groin region, especially when bending over, coughing or lifting heavy objects
  • Intense pressure in your groin
  • Pain and discomfort around the testicles when the bulging intestine comes down into the scrotum.

What Causes an Inguinal Hernia:

An inguinal hernia becomes obvious when fatty tissue or intestinal tissue pushes through weakness into your groin at the top of your inner thigh.

It pokes through a weak spot in the surrounding muscle wall into the inguinal canal. The inguinal canal is a channel

It pushes through a weak spot in the surrounding muscle wall (the abdominal wall) into the inguinal canal. The inguinal canals are the two passages in the anterior abdominal wall which in males convey the spermatic cords and in females the round ligament of the uterus.

Inguinal hernias are usually most common in men. The condition is likely to develop due to ageing. As you get older, the muscles surrounding your abdomen can become weaker.

Inguinal hernias can result from the strain on the abdomen, such as straining on the toilet due to irregular bowel movement or lifting heavy loads. They can also develop due to a persistent, heavy cough.

When is Surgery Needed?

Inguinal hernias can be treated using surgery to send the bulge back into place while strengthening the weakness in the abdominal wall.

If neglected, the condition may turn severe and lead to severe complications.

If you have an inguinal hernia, you may have the following symptoms:

Obstruction: where a section of bowel becomes stuck in the inguinal canal, causing nausea, vomiting and stomach pain, as well as a painful lump in the groin.

Strangulation: where a section of bowel becomes trapped and blood supply to the intestine and tissues in the abdomen is cut off; this requires emergency medical care within hours to release the trapped tissue and restore its blood supply, so it does not die.

Surgery can treat a hernia and prevent any serious complications, but it does not guarantee that the condition will not return after the operation.

When is Surgery Needed?

Surgery is recommended if you have severe pain and persistent symptoms or any serious complications develop as a result of obstruction and strangulation.

In such cases, the conditions can be repaired through:

Open Surgery:

Open inguinal hernia repair surgery involves making a single cut over a hernia. This incision is usually about 6-10 cm long. The surgeon will then place the lump of fatty tissue or loop of bowel back into one’s abdomen. Local anaesthesia is used for this surgery. So you will be awake during the operation, but the area being operated will be numbed.

Laparoscopic Surgery:

Laparoscopic or Keyhole surgery requires to make three small incisions in your abdomen (instead of a single, larger incision). A general anaesthetic is used for keyhole inguinal hernia repair, which means you will be asleep during the procedure.

Which technique is best?

Keyhole surgery is less painful after the procedure because the cuts are smaller. Moreover, less muscle damage and small cuts make it one of the most preferred option. With keyhole surgery, you are likely to recover soon, primarily when you have been treated before, and the hernia has come back.


A congenital disability that makes you vulnerable to an inguinal hernia, cannot be entirely prevented. However, the strain on your abdominal muscles and tissues can be reduced. Here goes a list of preventive tips.

  • Maintain a healthy weight
  • Consume high-fibre foods
  • Lift heavy objects carefully or avoid heavy lifting
  • Quit smoking
  • Don’t Rely on a truss