Do You Need Hospitalization for Hernia Surgery? Your Concerns - Surgery

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Is hospitalization required for hernia surgery?


Hello Doctor: I occasionally feel pain in my lower abdomen.
Last week, I noticed a small protrusion between my thigh and lower abdomen, which does not hurt when I touch it.
I am worried that it might be a tumor, so I immediately went to see a doctor.
The doctor told me it is a hernia and that I need to be hospitalized for surgery.
However, I remember that my younger son had hernia surgery two years ago and did not need to be hospitalized; he had the surgery in an outpatient clinic and returned home a few hours later.
Why does the doctor want me to stay in the hospital for three days this time? Is my condition more serious? I was so nervous at the time that I forgot to ask the doctor, and now I am increasingly worried.

wong, 50~59 year old female. Ask Date: 2001/07/18

Dr. Huang Zhihui reply Surgery


Hello Mr.
Wang: Based on your description, you may have an inguinal hernia, and surgery is recommended.
Generally, hernia surgery in infants is simpler and typically involves high ligation, so most hospitals perform it as an outpatient procedure.
In adults, hernia surgery requires not only high ligation but also abdominal wall reinforcement; however, it is still considered a minor surgery and can also be done on an outpatient basis.
Whether hospitalization is necessary for the surgery varies by physician and depends on the patient's condition, as each physician has their own considerations.
Therefore, it is advisable for you to discuss your concerns with your attending physician, who will provide you with satisfactory answers.

Reply Date: 2001/07/18

More Info


When it comes to hernia surgery, the need for hospitalization can vary significantly based on several factors, including the type of hernia, the surgical technique employed, and the patient's overall health. In your case, it seems that your doctor has recommended hospitalization for three days, which may understandably raise concerns, especially when you recall your son's outpatient surgery for a hernia.

Firstly, let's clarify what a hernia is. A hernia occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. In adults, the most common types of hernias include inguinal (groin), femoral, umbilical, and incisional hernias. The treatment typically involves surgery to repair the defect and, in many cases, to reinforce the area with mesh.

The decision to admit a patient for hernia surgery can depend on several factors:
1. Type of Hernia: Some hernias, especially if they are incarcerated (trapped) or strangulated (cut off from blood supply), require immediate surgical intervention and often necessitate hospitalization. If your hernia is causing significant pain or discomfort, or if there are concerns about complications, your doctor may recommend a more cautious approach that includes hospitalization.

2. Surgical Technique: There are various surgical techniques for hernia repair, including open surgery and laparoscopic (minimally invasive) surgery. Laparoscopic procedures often allow for outpatient surgery, where patients can go home a few hours after the operation. However, open surgery may require a longer recovery time and, consequently, a hospital stay.

3. Patient Health: Your overall health and any underlying medical conditions can also influence the decision. If you have other health issues that could complicate recovery, your doctor may prefer to monitor you in a hospital setting for a few days post-surgery.

4. Postoperative Care: After surgery, some patients may need additional monitoring for pain management, potential complications, or to ensure that they are recovering well before being discharged. This is particularly true if the surgery was more extensive or if there were any unexpected findings during the procedure.

Regarding your concern about whether your situation is more serious than your son's, it's essential to communicate openly with your healthcare provider. They can explain the specific reasons for their recommendation based on your individual case. It’s not uncommon for different patients to have different surgical experiences, even for the same condition.

In terms of recovery, most patients can expect to stay in the hospital for a few days if they undergo open surgery, especially if there are concerns about complications. During this time, healthcare providers will monitor your recovery, manage pain, and ensure that you are stable before discharge.
After being discharged, follow-up care is crucial. Your doctor will likely schedule a follow-up appointment to assess your healing and address any concerns. It's also important to follow their advice regarding activity levels, including when you can return to work or engage in physical activities.

In summary, while your son's outpatient surgery may have been appropriate for his specific situation, your need for hospitalization could be due to various factors related to your hernia and overall health. Don't hesitate to reach out to your healthcare provider for clarification and to discuss any concerns you may have about your treatment plan. Understanding the rationale behind their recommendations can help alleviate your fears and ensure that you are well-prepared for your surgery and recovery.

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