Hernia FAQS


What are hernias?

According to strict definition, a hernia is the abnormal displacement of a structure to an abnormal anatomic position through a containing wall.

We recognise a hernia as a bulge or lump which may be present constantly, or which may appear and disappear.

The most common sites for hernias to develop are in the abdominal wall and groin, and it is acknowledged that these can be very painful and debilitating.

What problems can hernias cause?

Hernias can cause problems in a number of ways:

  • The visual appearance
  • Discomfort
  • Complications (incarceration and strangulation) requiring emergency surgery

Over time, hernias tend to enlarge and become more troublesome.

Some can be controlled with a truss, but surgery is the only definitive treatment.

Why won’t the NHS repair my hernia?

We know that most hernias are low risk, although troublesome. The NHS focusses on treating those hernias most likely to cause major problems:

  • Hernias causing disabling symptoms
  • Hernias at risk of becoming trapped

This means there are a large number of people living with uncomfortable hernias who are not eligible for NHS repair.

What treatments does Mr Birchley offer?

Mr Birchley treats most types of hernias including inguinal, umbilical, femoral, incisional, Spigelian and epigastric, using either open repair or keyhole (laparoscopic) surgery.

The aim of these procedures is to repair your hernia and prevent it from recurring.

What is included in the fee for treatment?

The fee includes the preassessment, the procedure and follow-up appointment.

Complications requiring treatment are thankfully rare. Any required treatment is included in the fee.

Should you require a specific investigation or imaging this may be billed for separately. Mr Birchley will make this clear before you proceed.