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Hernia Repair

A hernia usually develops between your chest and hips. In many cases, it causes no or very few symptoms, although you may notice a swelling or lump in your tummy (abdomen) or groin.

The lump can often be pushed back in or disappears when you lie down. Coughing or straining may make the lump appear.

Does it work?

A number of factors will be considered when deciding whether surgery is appropriate, including:

  • the type of hernia – some types of hernia are more likely to become strangulated, or cause a bowel obstruction, than others
  • the content of your hernia – if the hernia contains a part of your bowel, muscle or other tissue, there may be a risk of strangulation or obstruction
  • your symptoms and the impact on your daily life – surgery may be recommended if your symptoms are severe or getting worse, or if the hernia is affecting your ability to carry out your normal activities
  • your general health – surgery may be too much of a risk if your general health is poor

How can I be referred?

To make sure that you get the best treatment for your condition your GP, hospital consultant or nurse specialist will discuss the different treatment options with you.

Some operations or treatments will only be recommended for some patients and your doctor will assess whether or not you meet the clinical conditions or criteria. Please click here to look at the criteria for a Hernia Repair.

If you meet the criteria then this will be the best treatment option for you and the procedure will be arranged.

If you don’t meet the criteria then you will be offered the most effective treatment for your particular condition.

If you don’t qualify for the treatment, but your doctor or nurse thinks that there are exceptional clinical circumstances in your case then they may submit an Individual Funding Request (IFR) to an independent panel for consideration.

The IFR panel meets weekly and aims to consider cases within 14days. The panel’s decision will be communicated to you by letter if you are an adult or by letter to your GP if you are the guardian of a child applying for funding.

If your IFR application is rejected (meaning that your surgery will not be funded by the NHS), then you or your GP has the right to appeal to the IFR panel against this decision within 90days. The panel is independent to your local Clinical Commissioning Group (CCG).

Get First Fit

The Get Fit First policy also applies to this intervention. For further information please see the Get Fit First page.