Inguinal Hernia Dilemma – Fix? How?

To fix or not to fix – that is the question!

Certainly patients who present with a symptomatic inguinal hernia prefer to have that repaired. But what about the patient who has an asymptomatic or minimally symptomatic inguinal hernia, should those be repaired as well? A recent systematic literature review demonstrated that patients will have “less pain overall with surgery compared to a watchful waiting approach” since many of those patients who are not asymptomatic will become symptomatic in the future. In fact, in 2010 a watchful waiting approach was adopted in several areas of Great Britain and found after the policy change a 59% higher odds of emergency repair with a 3 times increased risk for adverse events as well as a mortality of 5.4%!

How to fix?

Studies have shown that when comparing laparoscopic to an “open” approach to repairing these hernias that there is a 60% reduction in risk for chronic pain as well as a significantly reduced risk of acute pain. There is a significantly increased risk for infection, readmission, and opioid use with open repair. As a result, patient satisfaction rates are significantly higher with the laparoscopic approach.

About us

We are specialists in laparoscopic and robotic approaches in general and gastrointestinal surgery.


NWMIS makes it easy to get to us no matter where you are in the Portland or Vancouver metropolitan areas. We have three convenient locations where we practice. We love seeing patients, so please feel free to visit during regular business hours.

Vancouver Columbia Medical Plaza

8614 East Mill Plain Blvd Suite 100 Vancouver, WA 98664 Get Directions

Providence Tanasbourne

10690 NE Cornell Rd. Suite 212 Hillsboro, OR 97124 Get Directions

Legacy Good Samaritan Hospital

1040 NW 22nd Ave Suite 470 Portland, OR 97210 Get Directions
Give us a call today and we’ll let doctors Daniel Tseng, Jeffrey Watkins, Sabrina Drexel, or Paul Kaminsky know we have a patient ready for their gentle and expert service.