Treatment
Groin hernia repair options
The main approaches to groin hernia repair are open, laparoscopic (TEP/TAPP), and robotic-assisted surgery. The best choice depends on the hernia type, your anatomy, prior surgery, symptoms, and individual risk factors.
Open repair
Laparoscopic TEP/TAPP
Robotic repair
Day surgery
Open repair
Traditional approach through a small groin incision. Useful when keyhole repair isn’t suitable.
Read: Open repairLaparoscopic repair (TEP/TAPP)
Keyhole technique placing mesh behind the defect using small incisions (often 5–10 mm).
Read: Laparoscopic repairRobotic repair
Minimally invasive approach that can be helpful for selected complex cases and re-do surgery.
Read: Robotic repairHow the decision is made
- Hernia type: inguinal (direct/indirect) vs femoral
- Side: one-sided vs bilateral hernias
- Previous surgery: open repair, prostate surgery, abdominal surgery
- Recurrence: “re-do” repairs may benefit from different approaches
- Work/sport needs: timeline for return to activity
Severe constant pain, redness, vomiting, or an irreducible lump can indicate incarceration/strangulation and needs urgent assessment.