Open Surgery Versus Laparoscopic Repairs for Hernias

What Is the Difference Between Open and Minimally Invasive Inguinal Hernia Repair?

At Brown University Health, we offer both open and minimally invasive (laparoscopic or robotic) approaches to inguinal hernia repair. The best choice depends on your hernia type, medical history, and personal goals — but for many patients, a minimally invasive repair offers clear advantages over traditional open surgery. Minimally invasive surgery offers the surgeon three-dimensional images of the inside of the abdomen, smaller scars, less pain, and a faster recovery time.

What Are the Benefits of Minimally Invasive Surgery (MIS) Repair for a Hernia?

Benefits of minimally invasive (MIS) hernia repair include:

  • Less pain, faster recovery: Smaller incisions mean less disruption of tissue, which usually translates to less pain after surgery and a quicker return to work and daily life.
  • Lower risk of chronic groin pain: Because nerves are visualized and protected during laparoscopic/robotic surgery, the chance of long-term groin pain is lower compared to open repair.
  • Excellent choice for women: MIS repair is the preferred approach in women, as it allows inspection and repair of femoral hernias (more common in women and often missed in open surgery).
  • Repair on both sides through the same incisions: If you have hernias on both the left and right sides, both can be repaired during one operation without additional incisions.
  • Stronger, safer mesh position: The mesh is placed behind the muscles, where it works with your natural anatomy — so when your abdominal pressure rises (lifting, coughing), the mesh is supported and held in place by the abdominal wall itself.

When Is Open Repair Recommended for a Hernia?

Open repair may be appropriate for very large or complex hernias, patients unable to have general anesthesia, or in situations where a quick, local-anesthetic repair is desired. Your surgeon will discuss which option best fits your specific situation.

What to Expect after Hernia Surgery

After MIS Repair

Most patients return to light activity within days and resume normal activities, including work, in one to two weeks.

Open Repair

Recovery after open repair hernia surgery may involve more initial soreness and a slightly longer recovery time.

In both cases, we provide a detailed recovery plan and pain management strategy to get you back to normal safely and comfortably.

Brown University Health Expertise

All inguinal hernia repairs at Brown are performed by experienced MIS fellowship-trained surgeons. We use state-of-the-art laparoscopic and robotic techniques to maximize safety, minimize pain, and reduce recurrence.

General and Gastrointestinal Surgery