Specialties
Inguinal Hernia Surgery
Inguinal Hernia Surgery
Consultant Colorectal and General Surgeon in London
An inguinal hernia occurs when soft tissue, usually part of the intestine, protrudes through a weak spot in the abdominal muscles in the groin area. This causes a visible bulge, discomfort, or pain — especially when coughing, bending, or lifting. Inguinal hernia surgery is an advanced treatment option that repairs the weakness using mesh, relieving symptoms and preventing complications like strangulation.
Mr Nikhil Pawa is a specialist in inguinal hernia repair, utilizing laparoscopic (keyhole) and open techniques to achieve excellent outcomes with rapid recovery.
Benefits of Inguinal Hernia Surgery
01
Permanent Hernia Repair
Mesh reinforcement provides a strong, durable repair, significantly reducing the risk of recurrence compared to suture-only techniques.
02
Laparoscopic (Keyhole) Option
Minimally invasive approach uses small incisions, leading to less postoperative pain, faster return to normal activities, and minimal scarring.
03
Reduced Chronic Groin Pain
Expert surgical technique reduces the risk of long-term groin pain or nerve entrapment — a common concern with inguinal hernia repair.
04
Shorter Recovery Time
Most patients return to light work within 1–2 weeks after laparoscopic repair, compared to 3–4 weeks after open surgery.
05
Low Recurrence Rate
With modern mesh techniques and Mr Pawa’s expertise, recurrence rates are well below 1-2% for primary inguinal hernia repairs.
06
Same-Day or Overnight Stay
The majority of inguinal hernia repairs are performed as day-case procedures, allowing you to go home the same day.
07
Prevents Complications
Elective repair eliminates the risk of hernia strangulation — a surgical emergency where the blood supply to the trapped intestine is cut off.
08
Performed by a Global Expert
Mr. Nikhil Pawa, renowned for expertise in laparoscopic general surgery, brings over 20 years of experience in high-volume hernia surgery.
Our Process
Specialist Consultation
Your journey begins with a thorough consultation with Mr Nikhil Pawa, where your groin lump, symptoms, medical history, and activity levels are carefully reviewed. This helps determine if surgery is right for you and which technique (laparoscopic or open) is best.
Clinical Diagnosis
If needed, we arrange a groin ultrasound to confirm the hernia, assess its size and contents, and rule out other causes of groin pain (e.g., hydrocele or lymph node). This ensures an accurate diagnosis.
Tailored Surgical Planning
If you are a candidate for surgery, we create a personalised plan — laparoscopic (TEP or TAPP) for bilateral or recurrent hernias, or open mesh repair for small, unilateral hernias — tailored to your anatomy, occupation, and recovery goals.
Surgery & Recovery
The procedure is performed under general anaesthetic. Laparoscopic repair uses three small incisions; open repair uses a single 4-6cm incision. Most patients go home the same day, with simple pain relief and guidance to resume gentle activities within days.
Locations
FAQs
It is a surgical procedure to repair a weakness in the groin wall by pushing the protruding tissue back into place and reinforcing the area with a synthetic mesh.
The surgeon makes small incisions (laparoscopic) or a single larger incision (open) in the groin. The hernia sac is reduced, and a mesh is placed to strengthen the abdominal wall, preventing recurrence.
Inguinal hernia surgery treats direct and indirect inguinal hernias (primary or recurrent), including bilateral hernias and hernias causing pain or discomfort during daily activities.
Laparoscopic repair offers less pain, faster return to work (1-2 weeks vs 3-4 weeks), and lower chronic pain rates. Open repair is simpler for small hernias and can be done under local anaesthetic if preferred.
You are a candidate if you have a symptomatic inguinal hernia (pain, bulge, discomfort) or an asymptomatic hernia that is enlarging. Even small hernias can be repaired electively to prevent emergency complications.
After laparoscopic repair, most patients return to light office work in 5-7 days and full physical activity (including gym) in 3-4 weeks. After open repair, recovery is slightly longer. Mr Pawa will give you personalised guidance.
Inguinal Hernia Surgery in London
Expert Surgical Solutions for Lasting Remission When You Need It Most.