Hernia Surgery Risks & Complications: What’s Normal and What’s Not

Patient speaking with a surgeon after recovering from hernia surgery.

Are Complications Common After Hernia Surgery?

Hernia surgery is generally safe and effective, but as with any surgical procedure, complications can occur. Most patients recover without issue, yet some may experience temporary side effects or, in rare cases, more serious complications that require additional treatment.

Understanding what is normal during recovery versus what may signal a problem can help you know when to seek medical care.

Possible Risks and Complications After Hernia Surgery

Complications may occur during or after open hernia repair or laparoscopic hernia surgery. While uncommon, the following are potential risks patients should be aware of.

Bleeding and Bruising

Mild bleeding can occur after surgery, sometimes causing blood to collect near the surgical site. This may result in bruising or discoloration that appears black or blue and gradually fades over one to two weeks.

Bruising may also appear in surrounding areas such as the groin, scrotum, penis, inner thighs, or vulva. While this is usually harmless, you should contact your surgeon if bruising worsens or is accompanied by significant pain or swelling.

Infection

Surgical site infections after hernia repair are rare, particularly with laparoscopic techniques. If an infection does occur, it may cause redness, warmth, drainage, or fever. Treatment may involve antibiotics or opening the incision to allow drainage.

In very rare cases where surgical mesh is involved, mesh removal may be necessary to fully resolve the infection.

Acute or Chronic Pain

Mild to moderate pain near the incision or groin is expected after hernia surgery and typically improves within three to four weeks. Temporary discomfort may result from surgical dissection, gas used during laparoscopy, or inflammation around the repair site.

Persistent or worsening pain beyond the normal recovery window should be evaluated by your surgeon.

Urinary Issues

Some patients experience temporary difficulty urinating following surgery, often due to anesthesia effects. In these cases, a short-term urinary catheter may be required for relief.

Bladder injury during hernia surgery is extremely rare but may be more likely in patients with a history of prostate surgery. Be sure to discuss your medical history with your surgeon before your procedure.

Hernia Recurrence

Hernia recurrence is considered a late complication and may occur months or years after surgery. Common causes include excessive physical activity too soon after surgery, poor tissue healing, or deep infection.

Following post-operative instructions closely is one of the most effective ways to reduce recurrence risk.

Mesh Migration or Erosion

In rare cases involving inguinal or femoral hernia repairs, surgical mesh may migrate or erode into nearby tissues. This can occur due to inadequate fixation or an inflammatory response to the mesh.

Symptoms may include urinary issues, bowel irritation, or discomfort in the groin area and should be evaluated promptly.

What Is Not a Complication After Hernia Surgery

Many post-surgical symptoms are a normal part of recovery and are not considered complications.

Common, expected side effects include:

  • Nausea related to anesthesia
  • Bruising or mild swelling near the surgical site
  • Pain or soreness controlled with prescribed medication
  • Temporary difficulty urinating

These symptoms usually resolve on their own with rest, proper care, and time.

When to Contact Your Surgeon

You should contact your surgeon if you experience:

  • Increasing pain or swelling
  • Fever or signs of infection
  • Persistent vomiting or inability to urinate
  • Severe or worsening symptoms that do not improve

Early evaluation can prevent minor issues from becoming more serious.

Expert Hernia Care at Hernia Innovations

At Hernia Innovations, we specialize in advanced hernia surgery techniques and personalized recovery plans to minimize complications and support optimal healing.

If you have concerns about hernia surgery complications or are considering treatment, contact Hernia Innovations today by calling (925) 940-1025 or requesting an appointment online.

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