A herniorrhaphy generally refers to the operation for repair of an indirect or direct inguinal hernia, although it should apply to any hernia repair. It can be performed by an open or laparoscopic technique.
This operation is usually performed under general anaesthetic, although, in patients with poor cardiovascular or respiratory function, epidural or spinal anaesthesia may be used. Some surgeons repair most inguinal hernias under local anaesthetic.
It is worth observing three salient points:
NICE guidance states that for the repair of primary inguinal hernia, open (mesh) should be considered the preferred surgical procedure. However for the repair of recurrent and bilateral inguinal hernia, laparoscopic surgery should be considered (1).
Last reviewed 01/2018