Adult groin hernias

A groin hernia is a common presenting complaint for adults and surgical repair is usually recommended if symptomatic. Patients may present with swelling or pain in the groin and one should be cognizant of the surgical emergency of a strangulating or obstructing hernia. A careful history and examination will help determine differential diagnoses as well as planning the potential approach for repair. Surgical techniques have developed in recent years with a move towards favouring laparoscopy in the elective patient. For both open and laparoscopic approaches, there are recognized techniques to consider. It is crucial to have a clear understanding of the anatomy in order to develop the skills required for accurate dissection, reduction and repair. Complications, although rare, can lead to severe morbidity. Laparoscopy has the advantage of reducing postoperative chronic pain but requires greater skill and experience to perform successfully. This chapter outlines the key considerations and surgical techniques for groin hernia repair and should be used in conjunction with practical training.