Treatments for Hernias
Mr Appleton provides open and laparoscopic repair for groin, femoral, umbilical, ventral, epigastric and incisional hernias. Most procedures are day-case.
Overview
A hernia occurs when a weakness in the abdominal wall allows tissue to push through, creating a bulge that may be uncomfortable or limit activity. Repair restores the strength of the abdominal wall and relieves symptoms. The choice between open and keyhole surgery depends on the hernia type and size, whether one or both sides are affected, and any previous operations. Mesh is used for many repairs to reduce the chance of recurrence, though not every hernia needs mesh.
Hernia types we treat
We treat groin (inguinal) hernias—whether primary, recurrent, unilateral or bilateral—and femoral hernias, which are more common in women and can sometimes require urgent repair if strangulated. We also repair umbilical hernias at the navel, as well as ventral and epigastric hernias along the midline or upper abdomen. Incisional hernias can develop at the site of previous scars; these often benefit from mesh reinforcement. For athletes with chronic groin pain due to soft-tissue disruption (sportsman’s groin or Gilmore’s groin), a targeted surgical repair can restore stability and function.
Who surgery may suit
Surgery is recommended when a hernia causes pain, a noticeable bulge, or limits work or exercise. Your surgeon will confirm the diagnosis by examination and, if needed, imaging, then discuss the repair best suited to your goals and lifestyle.
Treatment options offered
Open repair involves a small incision over the hernia and repair of the weakness, with mesh used when indicated. Laparoscopic repair uses small cuts and a camera and is often preferred for bilateral or recurrent groin hernias. Sportsman’s groin surgery focuses on repairing the disrupted soft tissues of the groin.
Benefits, risks and recovery
Repair relieves the bulge and discomfort and allows a return to normal activity with a low risk of recurrence when mesh is used appropriately. Bruising, swelling and a feeling of tightness are common for a short time. Less common risks include seroma, infection, chronic groin discomfort and recurrence. Most people walk on the day of surgery, return to desk work after about a week, and build up activity over the following two to four weeks. Heavy lifting should usually be avoided for four to six weeks.
What to expect on the day
You will have a pre-assessment and a chance to ask questions. The repair is performed under general or regional anaesthetic depending on the plan. Many patients go home the same day.
Aftercare and follow-up
You will receive guidance on pain relief, wound care and activity. A review appointment checks healing and helps plan your return to sport or heavy work. Physiotherapy advice may be offered, particularly after sportsman’s groin repair.
Pricing
From £410. Typical range £410 to £975 depending on hernia type, side and technique. Your personalised quotation confirms what is included.
FAQ
Is mesh always used?
No. Mesh is standard for many repairs to reduce recurrence, but small hernias may not need it.
Is mesh always used?
No. Mesh is standard for many repairs to reduce recurrence, but small hernias may not need it.
Open or keyhole—which is better?
Both are effective. The best option depends on the hernia and any previous surgery.
When can I drive or exercise?
Most people drive after about a week when comfortable, and return to the gym gradually from two to four weeks.
HOW TO BOOK
Please contact the clinic to arrange a consultation. Bringing any previous imaging or reports can help plan the best repair for you.
GET IN TOUCH
BOOK ONLINE
Book online using the Circle Health Group booking system (opens in new window).
Private booking appointment
Booking is done directly with The Chiltern Hospital
Private Secretary
My private secretary Jo Bolton – contact for any queries
Billing enquiries
Billing enquiries go direct to Patient Billing
NHS enquiries
Enquiries for anything NHS related