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When you see the word "hernia",you might imagine a disk hernia. "Hernia" on this site means inguinal hernia or groin hernia. My specialty is the surgical repairment of adult inguinal hernia.

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Yasuhiro Togawa, M.D.

Board certified surgeon of The Japan Surgical Society
Board Certified Surgeon in Gastroenterology
Board certified Gastroenterologist

"Hernia" means a protrusion of a tissue.
There are many kinds of hernia that can develop in the body.
Inguinal hernia is a protrusion of the peritoneum and the intestine from the groin region.

do you have a hernia? Check the problem list below.
Do you feel discomfort in your groin?
Do you notice any swelling in your groin when you are in an upright position?
Do you notice any swelling in your groin when you take a bath?
Does the swelling disappear when you are in bed?
Are you a male?
Are you in your 40's and above?
Are you often standing while at work?
  Where is the groin?
Place your 4 fingers (except the thumb) in the upright position on the crease where your body and leg are connected.(blue line in the figure)
Grasp the skin between the 4 fingers and the thumb.
This is your groin.(
red circlein the figure)
What's the inguinal hernia?

An inguinal hernia is a protrusion of a piece of intestine or tissue through an abnormal opening in the lowest part of the abdominal wall. Some inguinal hernia are present at birth. Others develop suddenly or slowly during life.

Why do hernias occur in males in their 40's and above who perform strenuous work?

causes and types of the inguinal hernia

External inguinal hernia (indirect hernia)
We all have the inguinal cannal bilaterally. These are weak points of the abdominal wall. 80% of the inguinal hernia patients have an abnormal opening at that point.

Internal inguinal hernia (direct hernia)
The bottom of the abdominal cavity is also weak. In some cases, protrusion occurs at that point.

Femoral hernia
This type of hernia is rare. Mostly it occurs among elderly females.
Femoral hernia can be dangerous. 50% of the patients develop incarceration or strangulation.

who gets the hernia?

According to data from the Ministry of Health, Labor and Welfare, approximately 160,000 surgeries are done in a year. Hernias occur in people of any age and either gender. Children can suffer from hernias, possibly at birth. Among adults, 80% of patients are males in their 40's and above.

are you taking any medication?

If you suffer from hernia or any other diseases and are currently taking medication, it's advisable to bring all information from your doctor to our hospital.

Some drugs prevent the stoppage of bleeding.
e.g. aspirin, panaldin, plavix, warfarin e.t.c.
In some cases, usage of these medications should be temporarily stopped.

do you need surgery?

 If you choose not to have surgery, you will have to tolerate the hernia.

 Medications and hernia belts cannot repair the hernia.

How do we treat hernia?

As for the cost, Japanese health insurance holders are 70% covered. These patients will pay approximately 60,000 yen in total. There may be some variances.

how long does it take to return to your usual life?

You can do desk work 3 or 4 days after surgery. It is recommended that driving a car be postponed until 1 week after surgery. You can also do physical work 1 week after surgery( 2 weeks for heavy work). We can give you the necessary medical certification.

After surgery

  If you feel any discomfort, don't hesitate to visit our hospital.
If you have any questions, please email us.

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