A  hernia happens when part of an organ or tissue bulges through a weak spot in the abdominal wall. While surgery is the only definitive treatment, not all hernias require immediate repair. In some cases, patients can live with a hernia under careful medical supervision. This approach is known as “watchful waiting.”

At Dr. Rami Hamed Center (DRHC) in Dubai, our experienced surgeons carefully evaluate each patient to decide whether surgery should be performed right away or if non-surgical monitoring is a safe option.

Situations Where Surgery Can Be Delayed or Avoided

• Small and painless hernias – If the bulge is minor and causes no discomfort.
• Minimal symptoms – Occasional discomfort without serious interference in daily life.
• High surgical risk patients – People with heart disease, uncontrolled diabetes, or other medical issues may not be ideal candidates for immediate surgery.
• Elderly or frail patients – In some situations, observation may be safer than exposing the patient to surgery.
• Personal preference – Some patients may opt to postpone surgery if symptoms are not bothersome, provided their doctor agrees.

Risks of “Watchful Waiting” and When It Becomes Dangerous

While living with a hernia is possible, there are important risks to consider:

• Hernia enlargement – The bulge often grows over time, making surgery more complex later.
• Increased discomfort – Pain and pressure may gradually worsen.
• Bowel obstruction – The intestine can get trapped, causing nausea, vomiting, bloating, and constipation.
• Strangulation (life-threatening) – When the blood supply to the trapped intestine is cut off, it can lead to tissue death and infection. This is a surgical emergency.

Warning Signs of Emergency Hernia Complications:

• Sudden or severe pain at the hernia site
• Redness, swelling, or warmth over the bulge
• Nausea, vomiting, or inability to pass stool/gas
• Tenderness that worsens quickly

If you notice these symptoms, you should seek emergency medical care immediately.

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• Is Mesh Always Needed in Hernia Repair? Pros, Cons, and Alternatives
• Hernia Repair Success Rates: What Affects Long-Term Outcomes?
• Top Reasons Hernias Recur After Surgery and How to Prevent It
• Non-Surgical Options for Hernia: Do They Really Work?