Hernia Surgery in New Zealand
Hernia repair is one of the most common general surgical procedures. Dr Peter Carr-Boyd offers individualised hernia repair, including open and laparoscopic techniques, based on patient anatomy, lifestyle, and occupational demands.
A hernia is a weakness in the muscle or connective tissue , commonly in the groin, through which fat (or sometimes bowel or other organs) protrude.
It can be painful, or noticeable as a lump, or both.
Sometimes it can lead to further complications needing emergency surgical care, best avoided by repairing early.
Types of Hernias Treated
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Inguinal hernia
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Umbilical hernia
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Incisional hernias
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Femoral hernia
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Hiatus hernia
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Ventral hernias
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Spigelian hernia
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Diaphragmatic hernias
How Hernias Are Repaired – Minimally Invasive Surgery
Most adult hernias do not resolve on their own, and surgery is often recommended to prevent worsening symptoms or complications. Fortunately, hernia repair is usually straightforward and, in many cases, can be performed using minimally invasive (laparoscopic or robotic) techniques.
Minimally invasive hernia surgery involves small incisions and the use of a camera and specialised instruments to repair the hernia from inside the abdomen. Compared with traditional open surgery, laparoscopic hernia repair typically results in less postoperative pain, smaller scars, and a faster return to work and normal activities. For many patients, this means getting back to exercise, work, and family life sooner.
In most modern hernia repairs, surgical mesh is used to strengthen the abdominal wall and significantly reduce the risk of the hernia returning. Mesh repair is supported by strong evidence and is considered the standard of care for many types of hernias, including inguinal hernias.
Dr Carr-Boyd will take time to discuss the benefits, risks, and alternatives of hernia surgery in clear, practical terms. Together, we will decide on the most appropriate approach for your condition, lifestyle, and goals.
Mesh, Hernia repairs and SAFETY
Mesh repair is the standard of care for both open and laparoscopic inguinal hernia surgery and is supported by strong international evidence showing significantly lower recurrence rates compared with non-mesh (tissue) repair. Modern mesh techniques reduce the risk of hernia recurrence by 30–75%, making them the preferred option for both primary and recurrent hernias.
In open mesh hernia repair, recurrence rates are very low (typically under 2%), and complications such as infection, seroma, or haematoma are uncommon. Long-term outcomes show no increased risk of chronic pain or numbness, with most patients reporting improved comfort and quality of life. Mesh infection is rare, and contemporary surgical meshes have an excellent safety profile.
In laparoscopic inguinal hernia repair (TAPP or TEP), mesh is placed behind the abdominal wall in the pre-peritoneal space. Recurrence rates are comparable to open repair, with the added benefits of less ongoing pain, smaller incisions, and a faster return to normal activities, often by about one week. Serious mesh-related complications are rare when surgery is performed by an experienced hernia surgeon.
References
Hernia Surgery - Recovery Timeline
Recovery after hernia surgery is usually straightforward, particularly when performed using minimally invasive (laparoscopic or robotic) techniques. Most patients recover quickly and return to normal activities sooner than expected.
First 24–48 hours
You can expect some soreness and mild swelling around the incision sites. Pain is usually well controlled with simple pain relief. Walking is encouraged on the day of surgery.
First week
Most patients are comfortable performing light daily activities within a few days. Bruising and swelling gradually settle. Many people return to desk-based work within 3–7 days, especially after laparoscopic hernia repair.
Weeks 2–4
Mobility and comfort continue to improve. Gentle exercise such as walking is encouraged. Driving is usually safe once you are comfortable and no longer taking strong pain medication.
Weeks 4–6
Most patients can resume normal exercise and lifting, including gym activities and sports, following individual guidance. Full healing of the abdominal wall occurs during this period.
Recovery advice will be tailored to your type of hernia, surgical approach, and lifestyle. Dr Carr-Boyd will provide clear guidance on activity, work, and exercise to ensure a safe and confident return to normal life.