Inguinal Hernia

An inguinal hernia is a small bulge that occurs in the groin region or in the lower part of your abdomen. It is much more common among men than women. At Nova Bariatrics and General Surgery, we use advanced skills and surgical measures to repair inguinal hernia in Irving, Arlington, and Paris. Dr. Alibhai will discuss the possible treatment options for this condition based on its severity. 


This hernia can develop at any age and is more common among men. It occurs due to a weakness or opening in the lower abdominal wall, often along the inguinal canal (a tube that carries the spermatic cord in men). 

There are two noticeable types of inguinal hernia: 

  • Indirect hernia: This is the most common type of condition, and it can even be present at birth. When the male testicles develop, they reach the scrotum area through an opening in the lower abdominal wall. This opening normally closes at birth, but if it remains open, an inguinal hernia develops. This type of hernia may occur in women due to a weakness in the abdominal wall. 
  • Direct hernia: In this type, the abdominal tissues or intestines protrude through a weakness in the abdominal wall. It is more common among adults and usually occurs in men. It can develop due to excessive straining, heavy weight lifting, chronic coughing, or other factors. 


It is easy to identify an inguinal hernia during a physical exam. However, our doctor will first discuss your symptoms and record your detailed medical history. During the physical examination, we will palpate around the lower abdominal wall to feel for a lump or bulge. We will also ask you to cough or strain your abdominal muscles to feel the bulge.

Inguinal hernias in children become more prominent when the child cries. If the hernia is not visible during the clinical exam, we may request some imaging tests, such as an ultrasound or a CT scan, to achieve an accurate diagnosis.

Treatment of Inguinal Hernia
The treatment of this type of hernia typically involves surgical repair. In adults, if the hernia is small in size and does not cause any painful symptoms, we may recommend conservative measures to support your abdominal wall. 

In most cases of inguinal hernia among infants and adults, surgery is recommended to avoid the risk of strangulation. One of the surgical options is open surgical repair. In this case, we will place a small incision in the groin area and push the hernia back into the abdominal cavity. We may also place a mesh to close and strengthen the abdominal wall.

The other, less invasive treatment option is laparoscopic surgery. We will insert a thin scope (camera) and surgical instruments through small incisions. The hernia is pushed back, and the abdominal wall is repaired. It offers a shorter recovery time. 

Schedule An Appointment With Us
If you or your child experience painful symptoms due to inguinal hernia, contact our specialists today to discuss your treatment options.
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