How are inguinal hernias managed?

Written by: Mr Abhilash Paily
Edited by: Conor Lynch

In this article below, distinguished consultant and general surgeon, Mr Abhilash Paily, tells us all we need to know about inguinal hernias, including the main associated causes and risk factors.


What is an inguinal hernia?

An inguinal hernia occurs when tissue or organs protrude through the abdominal wall in the groin region. 


What are the main causes and associated risk factors?

Inguinal hernias are more common in men and increase with age. The other main risk factors include obesity, smoking, and chronic cough.


How are they diagnosed?

A clinical history and physical examination are the first steps in the diagnostic process of inguinal hernias. Then, an ultrasound is used to confirm the diagnosis.


What is the difference between a direct and indirect inguinal hernia?

A direct inguinal hernia is where the protrusion occurs through the abdominal wall, whereas indirect hernias involve the protrusion through the inguinal canal.


How are they treated?

For asymptomatic or mildly symptomatic hernias, nothing more than observation is required. In more severe cases, hernia surgery is the most effective option. Surgical repair is the standard treatment. Surgical mesh is also used to reduce recurrences.


How can inguinal hernias be prevented, and how are they managed?

Getting regular exercise, having a balanced diet, and quitting smoking and limiting alcohol consumption are the best ways to avoid getting an inguinal hernia. Medications and painkillers can also be prescribed to patients who have been diagnosed with inguinal hernias in order to manage their pain.


To book an appointment with Mr Abhilash Paily, simply head on over to his Top Doctors profile today.

By Mr Abhilash Paily
Colorectal surgery

Mr Abhilash Paily is a highly esteemed consultant general and colorectal surgeon at Oaks hospital, Colchester. He specialises in anal fistula, colonoscopy, colorectal and anal cancer, gallstones, hernias and colorectal pelvic floor disorder.

He graduated from Government Medical College Kottayam, India (Mahatma Gandhi University) in 1997 and went on to complete his postgraduate resident training in general surgery at the Government Medical College, Trivandrum, India (University of Kerala) from 1999 to 2003. In 2005, he relocated to the UK and served in fixed term training registrar positions in general surgery in Glasgow, Edinburgh, Dumfermline, Plymouth, and Ipswich before joining the run-through Higher National Training Programme in the East of England deanery (Ipswich Hospital, Norfolk and Norwich University Hospital, Southend University Hospital, and Colchester General Hospital). 

Between 2009 and 2011, he served as a Clinical Research Associate in GI physiology/pelvic floor, conducting investigations on neurogenic bowel dysfunction in spinal cord injuries under the supervision of the distinguished neuro-gastroenterologist Professor Anton Emmanuel at University College London.

Additionally, he currently holds the position of General Surgery Clinical Lead at Colchester General Hospital.

View Profile

Overall assessment of their patients

  • Related procedures
  • Gastroscopy
    Pelvic floor reconstructive surgery
    Robotic surgery
    Rectal surgery
    Anal fistula surgery
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.