Can a hernia heal without surgery? Myths & medical Facts!


A hernia occurs when an internal organ or fatty tissue pushes through a weak spot in the surrounding muscle or connective tissue. Most commonly, hernias occur in the abdominal wall, where a part of the intestine or fat protrudes through a weakened area. They are often seen around the belly button (umbilical), groin (inguinal), upper thigh (femoral), or at the site of a previous surgical incision (incisional hernia).

Laparoscopic hernia repair, also known as minimally invasive hernia surgery, involves using small incisions and a camera (laparoscope) to repair the hernia. This technique has gained popularity worldwide, including in Nepal, due to its numerous benefits over traditional open surgery.

In this blog, we will explore the advantages of laparoscopic hernia repair, which can be beneficial for patients in Nepal.

A hernia typically appears as a visible bulge that may become more prominent when standing or lifting heavy objects. In some cases, it may cause discomfort, pain, or a burning sensation. While hernias may not always cause immediate problems, they can gradually enlarge and lead to serious complications, such as intestinal obstruction or strangulation—where the blood supply to the herniated tissue is cut off.

Hernia is a common surgical condition, yet it’s surrounded by many myths and misconceptions. This confusion often delays diagnosis and treatment, leading to unnecessary complications. As a gastrointestinal and hernia surgeon, I frequently come across patients with several doubts and fears about hernia and its management.

In this blog, let’s bust some common myths and understand the real facts about hernia.

Myth 1: Hernia is always painful.

Fact: Not all hernias cause pain. In fact, many hernias, especially in the early stages, may present as a painless bulge that becomes more prominent with coughing, straining, or standing.

Myth 2: Only men get hernias.

Fact: While inguinal hernias are more common in men, women can also develop this type of hernias. Though femoral hernia is common in female, any kind of hernia may develop in both of male and female like umbilical hernia, incisional hernias.

Myth 3: Lifting heavy objects always causes hernias.

Fact: Lifting heavy weights can contribute to hernia formation or worsening, but hernias often result from a combination of muscle weakness and increased abdominal pressure.

Myth 4: Hernias can be cured with medicines or home remedies.

Fact: A hernia is a structural defect. No medicine, herb, or belt can cure it. Surgery is the only definitive treatment.

Myth 5: You need to wait until the hernia gets worse before surgery.

Fact: Waiting for a hernia to worsen is risky. Elective surgery is safer and avoids emergency complications.

Myth 6: Hernia surgery is very risky and painful.

Fact: Not only the open surgery, modern hernia surgeries, especially laparoscopic ones, are also safe. Moreover, minimally invasive (laparoscopic) surgery offer quick recovery with minimal discomfort.

Myth 7: Once operated, hernia never comes back.

Fact: Recurrence is rare but possible. Proper technique, experienced surgeons, and managing risk factors can greatly reduce recurrence chances.

Understanding Hernia Management:

What should i do if i have hernia?
Consult surgeon specialised for hernia surgery, Doctor will take history and perform physical examination; and if needed ask you for ultrasound for confirmation.

Treatment Options:

  • Open surgery – traditional method with a small incision.
  • Laparoscopic surgery – minimally invasive, quicker recovery.

Post-operative Care: Avoid heavy lifting, maintain healthy weight, treat chronic cough or constipation, and follow up as advised.

Takeaway Message:

Hernia is a treatable condition, but believing in myths can delay effective care.Surgery is the only effective treatment for hernia. If you or your loved ones have a suspicious bulge or abdominal discomfort, consult a specialist. Early diagnosis and timely surgery ensure better outcomes without unnecessary risks.

Remember: This article is for general information only. Follow your doctor's advice according to your personal health condition.

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