Open, Laparoscopic & Robotic Inguinal Hernia Repair
Most inguinal hernias are repaired with a tension-free technique that reinforces the abdominal wall, typically with surgical mesh. Open repair uses a single groin incision and can often be performed under local or regional anesthesia. Laparoscopic and robotic (da Vinci) repair use a few small incisions to place mesh behind the abdominal wall — an approach many patients choose for bilateral or recurrent hernias and for a quicker return to activity. Femoral hernias, which are more common in women and carry a higher risk of incarceration, are repaired using similar techniques. Your surgeon will recommend the approach that fits your hernia, your health, and your recovery goals.
Hernia SurgeryVentral Hernia RepairRobotic SurgeryGeneral SurgeryDr. Joshua EllenhornDr. Jason CohenSecond OpinionContact Us
Your Surgeons
Inguinal hernia repair at Surgery Group LA is performed by Dr. Joshua Ellenhorn, a board-certified surgeon and surgical oncologist with extensive experience in robotic and laparoscopic hernia repair, and Dr. Jason Cohen, a board-certified general and endocrine surgeon. Both operate at Cedars-Sinai Medical Center in Los Angeles.
Recovery After Inguinal Hernia Repair
Most inguinal hernia repairs are outpatient procedures — you go home the same day. Many patients are walking that evening and return to desk work within days, while heavy lifting and strenuous exercise are limited for several weeks while the repair strengthens. Your surgeon will give you an individualized recovery plan based on your repair and activity level.
Frequently Asked Questions
Do all inguinal hernias need surgery?
Not always. A small inguinal hernia that causes no symptoms can sometimes be watched. Most inguinal hernias enlarge over time, however, and surgery is the only way to repair one. Repair is recommended for hernias that cause pain or are at risk of incarceration or strangulation — an emergency in which trapped tissue loses blood supply.
What is the difference between open, laparoscopic, and robotic inguinal hernia repair?
Open repair uses one groin incision and direct mesh placement. Laparoscopic repair places mesh behind the abdominal wall through a few small incisions. Robotic repair uses the same small incisions with the da Vinci system, giving the surgeon enhanced visualization and precision — often preferred for bilateral or recurrent hernias. Outcomes are excellent with all three in experienced hands; your anatomy and history determine the best fit.
Is mesh always used for inguinal hernia repair?
Tension-free mesh repair is the standard of care for most adult inguinal hernias because it significantly lowers the chance of recurrence. Modern mesh is extensively regulated and well tolerated. In select situations a tissue-based (non-mesh) repair may be appropriate — your surgeon will discuss the options and recommend what is safest for you.
Where is inguinal hernia repair performed in Los Angeles?
Consultations take place at our office in the Cedars-Sinai Medical Office Towers, 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048, and surgery is performed at Cedars-Sinai Medical Center and its affiliated surgical facilities. Call (310) 861-7493 to schedule.