Don’t Ignore the Signs: What You Should Know About Hernias

By Mike Bell, MD; Mateo Guarderas, MD; Tessa Henry, MD; and James Johnson, MD, general surgeons at Saint Mary’s Regional Health System 

You may not think much about a small lump or discomfort in your abdomen or groin, especially if it comes and goes. But what seems minor at first could be a hernia, a common condition that affects millions of people each year. The good news is that hernias are very treatable, especially when addressed early, and today’s surgical advancements have made treatment more effective and less invasive than ever before. 

A hernia occurs when an organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. While they can develop in several areas of the body, most hernias occur in the abdomen or groin. 

There are several types of hernias, each with its own characteristics. Inguinal hernias are the most common and occur in the groin area, often affecting men. Femoral hernias also develop in the upper thigh or groin but are more common in women. Umbilical hernias appear near the belly button and are frequently seen in infants, though they can also occur in adults. Another type, called a hiatal hernia, occurs when part of the stomach pushes up into the chest cavity and may cause symptoms like heartburn or acid reflux. 

While some hernias may not cause immediate pain, they typically do not go away on their own. Over time, they can worsen. Common symptoms include a noticeable bulge, discomfort when lifting or bending, a feeling of heaviness, or pain that increases with activity. In more serious cases, a hernia can become incarcerated or strangulated, meaning the blood supply to the tissue is compromised. This is a medical emergency and requires immediate attention. 

So when should you seek care? If you notice a new lump or bulge, experience persistent discomfort, or have symptoms that are getting worse, it’s time to talk to your doctor. Early evaluation can help determine the best course of action and may prevent complications down the road. 

For many patients, hernia repair involves surgery, but the way we perform that surgery has evolved significantly. At Saint Mary’s, we offer a range of surgical options, including minimally invasive techniques and robotic-assisted hernia repair, depending on the patient’s needs and surgeon recommendation. This advanced technology allows surgeons to operate through small incisions using highly precise instruments and enhanced 3D visualization. 

Robotic-assisted surgery offers several potential benefits for patients. These may include less postoperative pain, smaller incisions, reduced risk of infection, and a quicker return to normal activities. The robotic system does not replace the surgeon—it enhances the surgeon’s ability to perform delicate repairs with greater precision and control. This is especially valuable when repairing complex or recurrent hernias. 

Every patient is different, which is why we take a personalized approach to care. Our surgical team evaluates each case to determine the most appropriate treatment plan based on the type of hernia, overall health, and lifestyle needs. In many cases, patients are able to go home the same day and begin recovery with minimal disruption to their daily routine. 

If you think you might have a hernia, don’t wait. Scheduling an evaluation is simple. Contact your primary care provider for a referral. In the meantime, click here to learn more. 

Taking that first step can make all the difference. Hernias are common, but living with discomfort or risk doesn’t have to be.