Which Surgery is Better for Treating Hernia - Open or Laparoscopic?

One of the most common questions hernia patients ask is whether open or laparoscopic surgery is better. In this video, Dr. Vikram Lotwala, laparoscopic hernia surgeon at Wings Hospital, Surat, explains the difference. Both methods repair the hernia effectively, but each is suited to different situations.

Open hernia surgery

The surgeon makes a single cut over the hernia, pushes the bulging tissue back and repairs the weak spot, usually with mesh.

• Can be done under spinal or local anaesthesia in some patients.
• Useful for some emergency cases and for patients who are not fit for general anaesthesia.
• Larger cut, usually more pain after surgery and a slower return to work.

Laparoscopic hernia surgery

The surgeon repairs the hernia from inside the abdominal wall through small keyhole cuts, placing mesh behind the muscle.

• Less pain, smaller scars and a faster return to work and daily activities.
• Both sides can be checked and repaired through the same small cuts.
• Well suited to hernias that come back after an earlier open repair.
• Needs general anaesthesia.

Which is right for you?

For many patients, especially those with hernias on both sides, recurrent hernias or a need to return to work quickly, laparoscopic repair offers clear advantages. Open repair may be preferred in certain emergencies, for patients who cannot have general anaesthesia, or for some very small hernias. The surgeon recommends the best option after examining you.

Book a consultation with Dr. Vikram Lotwala to find out which hernia surgery is right for you.

Dr. Vikram Lotwala
Laparoscopic & Bariatric Surgeon
Wings Hospital, 1st Floor, Abhilasha Apartments, Madhuvan Circle, L P Savani Road, Surat, Gujarat
Phone: +91 99099 66056

Frequently Asked Questions

Is laparoscopic hernia surgery more expensive than open surgery?

Laparoscopic surgery may cost somewhat more because of specialised equipment, but the faster recovery means less time off work. Costs vary by hernia type and hospital.

Does laparoscopic surgery have a higher chance of hernia coming back?

No. When done by an experienced surgeon, recurrence rates for laparoscopic and open mesh repair are similar and low.

Can open surgery be done without general anaesthesia?

Yes. Some open hernia repairs can be done under spinal or local anaesthesia, which can be helpful for patients with heart or lung problems.

Which is better for hernias on both sides?

Laparoscopic surgery is usually preferred, as both sides can be repaired through the same small cuts in a single operation.

Can every hernia be repaired laparoscopically?

Not every hernia. Very large, complicated or emergency hernias, or patients who cannot have general anaesthesia, may be better suited to open surgery.