Hernia Repair in Sharjah
Medically reviewed by Dar Al Kamal Team
What is hernia repair?
Hernia repair is surgery to fix a weakness or gap in the wall of the abdomen through which tissue bulges out. The operation pushes the tissue back into place and closes or reinforces the gap, so the bulge no longer appears. At Dar Al Kamal Hospital in Sharjah, the surgeon repairs the wall either through several small cuts, known as keyhole surgery, or through one larger cut, known as open surgery, and often adds a soft mesh to strengthen the area. Which method suits you depends on the type of hernia, its size, and your medical history.
Who needs it
A hernia shows as a lump or bulge, most often in the groin or at the navel, and it may appear when you cough, stand or lift and shrink when you lie down. Common types include inguinal hernias in the groin, umbilical hernias at the navel, incisional hernias through an old surgical scar, femoral hernias, and hiatus hernias inside the chest. A widening gap between the two long abdominal muscles, often after pregnancy, is a separate condition called diastasis recti, which can sit alongside an umbilical hernia and is treated with diastasis recti repair. Hernias do not heal by themselves and tend to grow over time. A hernia that causes pain, discomfort or a dragging feeling is usually repaired, while some small hernias that cause no symptoms can be watched with your surgeon rather than operated on straight away. At Dar Al Kamal Hospital in Sharjah, the decision to repair is made with you, weighing your symptoms, the risk of the hernia getting worse, and your general health.
What happens
Before the operation you have a consultation and examination, and sometimes an ultrasound or scan to confirm the hernia and plan the repair. The operation is done under anaesthetic, which may be general or one that numbs part of the body, and the anaesthetist will discuss which is safer for you. For inguinal hernias, Dar Al Kamal Hospital uses two established techniques. Laparoscopic TEP (totally extraperitoneal) or TAPP (transabdominal preperitoneal) repair works through several small cuts with a camera and fine instruments, placing a mesh behind the muscle wall from the inside. Open Lichtenstein repair reaches the hernia through a single groin cut, returns the tissue and stitches a flat mesh over the weak area. Your surgeon chooses the approach for your case and will explain why one method fits your hernia better than the other. Many hernia repairs at Dar Al Kamal Hospital in Sharjah are day cases, so you go home the same day.
Preparing for it
Your team will tell you whether to stop or continue any medicines, especially blood thinners, and when to stop eating and drinking before the anaesthetic. If you smoke, stopping beforehand helps the wound heal. Arrange for someone to drive you home and, ideally, stay with you the first night. Tell your surgeon about your other health conditions, allergies and past operations, and bring any scans you already have. This is the time to ask whether keyhole or open surgery is planned, whether a mesh will be used, and what your recovery is likely to involve.
Afterwards
Some soreness, bruising and swelling around the wound are normal for a while, and the area may feel tight at first. You will be given advice on pain relief, wound care, and when you can lift, drive and return to work. Take it gently and avoid heavy lifting and straining until you are told it is safe. Your surgeon will give you a timeline for your case rather than a fixed date, because recovery differs from person to person. Contact the hospital if you develop a fever, spreading redness or discharge from the wound, worsening pain, or persistent vomiting. Go to the emergency department if the bulge becomes hard, very painful and cannot be pushed back in, as this can mean the hernia is strangulated and needs urgent attention.
Risks and limitations
Every operation carries risk. Hernia repair can cause bleeding, infection, a reaction to the anaesthetic, and lasting discomfort or numbness near the wound. Fluid can collect at the site and usually settles on its own. A hernia can come back after repair, which is why the method is chosen carefully for your case. This is also the strongest reason a planned repair is preferred to an emergency one: when a hernia is left until it becomes stuck or strangulated, the operation is larger, the risks are higher, and the outcome is harder to predict. At Dar Al Kamal Hospital in Sharjah, small symptomless hernias may still be watched rather than repaired, and this too is discussed with you.
Cost and insurance
Hernia repair usually needs pre-approval from your insurer, covering the operation, the anaesthetic, any mesh, and your follow-up. Starting the approval early is worth doing, as it is a common cause of delay before an operating date. Some plans ask for evidence that the hernia is causing symptoms, and elements such as a private room may not be covered. Coverage varies between policies and can change, so confirm exactly what your plan includes with Dar Al Kamal Hospital in Sharjah on 06 599 7777 before scheduling your operation.
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Frequently asked questions
Can a hernia be left alone if it does not hurt?
A small hernia that causes no symptoms can sometimes be watched with your surgeon rather than repaired straight away. But hernias tend to enlarge and can become stuck, so the choice to watch or repair is made together based on your case.
What is the difference between keyhole and open hernia repair?
Keyhole repair, such as laparoscopic TEP or TAPP repair for a groin hernia, uses several small cuts, a camera and fine instruments, while open repair, such as the Lichtenstein mesh repair, uses a single larger cut. Your surgeon chooses the method based on the type of hernia, its size and your history.
Will a mesh be used in my repair?
A soft mesh is used in many hernia repairs because it reinforces the weak area and helps hold the repair. Whether one is right for you depends on the type and size of your hernia, and your surgeon will explain the plan before the operation.
Is hernia repair done as day surgery?
Many hernia repairs are day cases, meaning you arrive and go home the same day. Whether this applies to you depends on the type of repair, the anaesthetic and your general health, and your team will tell you what to expect.
When should I go to the emergency department with a hernia?
Go to the emergency department if the bulge becomes hard, very painful and cannot be pushed back in, or if you have severe abdominal pain with vomiting. These can signal a strangulated hernia, which is time-critical and needs urgent care.
Can a hernia come back after it has been repaired?
A hernia can return after repair, and no operation can rule this out completely. The chance depends on the type of hernia, the method used and your own healing, which is why the approach is chosen carefully for each person.
How long before I can return to work and lifting?
Recovery depends on the hernia, the repair and your kind of work, so your surgeon will give you a timeline for your case. Desk-based work is usually resumed sooner than heavy lifting, which needs more time to heal.
Why is a planned hernia repair safer than an emergency one?
A planned repair is done when you are prepared, your health is optimised and the surgeon can choose the best method. An emergency repair for a strangulated hernia is a larger operation with higher risks, which is why repairing a troublesome hernia before it becomes an emergency is preferred.
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