Inguinal hernia surgery is a common procedure performed to repair a weakness or tear in the abdominal wall. Whether you’ve undergone open surgery or a minimally invasive laparoscopic procedure, understanding the recovery process is crucial for a successful outcome. In this comprehensive guide, we’ll delve into the specifics of what to expect during your post-operative period.

1. Immediate Post-Operative Care

a. Pain Management and Medications

• Pain Control: After surgery, you’ll likely experience discomfort around the groin and incision sites. Your surgeon will prescribe pain medications to manage this. In the first few days after surgery, it’s important to take these medications regularly rather than wait for the pain to build up. After the first few days, you may need less pain relief and be able to gradually stop taking anything at all.
• Constipation Prevention: Pain medications can cause constipation. Maintain a balanced diet rich in fibre and stay hydrated. Avoid straining during bowel movements.

b. Wound Care

• Incision Site: Proper wound care is essential. Keep the surgical wound clean and dry. Follow any specific instructions provided by your surgeon regarding dressing changes and hygiene. The dressings are waterproof so it’s usually fine to shower but avoid baths/ spa pools/ swimming pools until you have had your postoperative check-up.

c. Activity Restrictions

• Initial Rest: Rest on the day of surgery. Your abdominal muscles may feel weak and the whole process of surgery (waiting; fasting) can be draining in itself. After the day of surgery, it’s usually fine and recommended to stay active by walking around and avoiding prolonged bedrest.
• Driving: In general, you can resume driving once you feel comfortable operating the pedals. This might take one or two weeks. You should resume driving by starting with short distances. If your job involves driving ( e.g. bus driver carrying people, truck driver carrying goods), the rules around being safe with driving may be more strict and need clarification with your surgeon and your employer. For larger hernia repairs, wait until your surgeon approves.
• Returning to Work: The duration of time off work varies based on your job type:
  • Desk job: Approximately one week off after laparoscopic repair.
  • Physically demanding work: Allow around two weeks.
  • Heavy lifting: Wait until your wound has healed (usually around four weeks).

2. Bruising, Swelling, and Discoloration

• Bruising: Expect bruising around the wound site. It may even extend into the testicles and penis. While it looks alarming, rest assured that it’s a normal part of the healing process and will gradually fade.
• Swelling: Some swelling is common. Elevate your legs when resting to reduce swelling. For patients with large hernias, it is common for the space to fill up with fluid once the hernia is fixed. This is called a seroma and is a natural part of the healing process. Seromas are usually not drained as it risks introducing infection and they usually resolve by themselves.

3. Follow-Up Visits and Monitoring

• Post-Operative Appointments: During your follow-up visit, your surgeon will assess your progress, check for any complications, and address any concerns you may have.

4. Gradual Return to Normal Activities

• Physical Activity: Start with light activities such as walking and gradually increase your level of exertion. Avoid heavy lifting until your surgeon gives the go-ahead.
• Listen to Your Body: Pay attention to any unusual symptoms, such as increased pain, fever, or persistent swelling. Contact your surgeon promptly if you experience any concerning signs.

Conclusion

Remember that every individual’s recovery journey is unique. Be patient with yourself, follow your surgeon’s guidance, and prioritize self-care. With time, you’ll regain your strength and resume your daily activities.