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Hernia Size Chart In MM

A hernia can be as small as sand or as big as a grapefruit. Irrespective of the size of the hernia, it is crucial for one to undergo hernia treatment before it worsens. At Pristyn Care, you can have a detailed consultation and advanced treatment for different sizes of hernia and resume a healthy lifestyle quicker than ever. Book your appointment today with our expert laparoscopic surgeons for hernia treatment.

A hernia can be as small as sand or as big as a ... Read More

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    Dr. Ramesh Das (gJjDWhfO8B)

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Introduction to Hernia and Its Sizes

A hernia occurs when an organ or tissue protrudes through a weak spot or tear in the surrounding muscle or connective tissue, forming a bulge. Common types include inguinal (groin), umbilical (belly button), and hiatal (upper stomach). 

Hernias come in different sizes, ranging from small to very large. Understanding the dimensions and sizes of hernias is crucial for effective treatment. The size of a hernia is typically measured in cm or inches. Hernia size refers to the defect of the bulge of the hernia. Typically, larger hernias require more extensive treatment than the smaller ones. Different factors, including the size of the hernia opening and the amount of tissue protruding through the opening, affect the size of the hernia. 

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Types of Hernia and Their Sizes

  • Inguinal hernia – An inguinal hernia is a type of groin hernia that occurs when abdominal tissue pushes through the lower abdominal wall into the groin. The size of an inguinal hernia can range from barely noticeable to large and protruding. In other words, The size of an inguinal hernia can typically vary from around 1 centimeter to several centimeters in diameter, with larger hernias potentially exceeding 10 centimeters or more in extreme cases. The size is mainly affected by the amount of tissue protruding through the abdominal wall and then the strength or weakness of the underlying muscle.
  • Umbilical hernia – An umbilical hernia occurs when part of your intestine bulges through the opening in your abdominal muscles near your belly button. Typically, the size of umbilical hernias ranges from a few millimeters to several centimeters. Small umbilical hernias maybe 1 cm or less, and the large ones may grow to even 8-10 cm in diameter. 
  • Incisional hernia – An incisional hernia occurs when tissue protrudes at the healing surgical site. The sizes of incisional hernias are affected mainly by the original incision, the extent of the trauma, and the healing tissue or wound.  An incisional hernia size may vary from 1 cm in diameter in small hernias to 5-7 cm or more in larger ones.
  • Femoral hernia – A femoral hernia is a painful lump or bulge in the upper thigh or the groin. These hernias may range from approximately 5 cm to 10 cm. The size of a femoral hernia depends on the size of the original incision, the extent of the tissue wound, and how effectively the wound heals. 

Are you going through any of these symptoms?

How are Hernia Sizes Classified?

Hernias, based on size, can be classified as small, medium, large, and very large hernias. However, no defined guidebook strictly sets any criteria for this classification; these are entirely based on observation and clinical diagnosis.

  • Small hernia – Small hernias typically are 1-2 cm in diameter. They are barely noticeable to the naked eye and do not cause any serious, painful symptoms.
  • Medium hernia – If hernias grow to 2-5 cm in diameter, they are considered to be of medium size. They appear as small bulges and may cause symptoms such as pain or discomfort near the abdomen.
  • Large hernia – They are usually from 5-10 cm in diameter and are easily noticeable. They almost always cause painful symptoms, along with nausea and vomiting.
  • Very large hernia – They exceed 10 cm or above in diameter. The hernia protrudes through the abdominal wall and causes pain, nausea, and vomiting, and difficulty eating. There is also a risk of strangulation and incarceration in case of very large size hernias.

Symptoms of hernia are not restricted to their particular size. Hence, it is important to always consult a healthcare professional for proper evaluation and treatment of hernia.

Diagnostic Tests to Measure Hernia Size

The size of a hernia, irrespective of the type, is primarily evaluated through a physical examination. The doctor may palpate the bulge or the protrusion to investigate the size of the hernia. Palpating the hernia helps determine not only the hernia size but also the exact location of the hernia.

The size of the hernia may also be evaluated through imaging tests such as CT scan, MRI or ultrasound. These tests also help the doctor with additional information about the hernia including their potential risks and complications. 

In some instances, the doctor may resort to intraoperative techniques including measurement with rulers of calipers to determine the accurate hernia size.

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Treatments for Hernia of Different Sizes

Healthcare professionals typically leverage two different approaches for hernia repair.

  1. Open surgery for hernia repair – This approach involves making a large incision over the site where the muscle protrudes. The surgeon manually pushes the protruding tissue back into place and stitches the weak hernia muscle wall with a hernia mesh. Open hernia repair is generally considered effective for large-size hernias where the bulge or the protrusion of the hernia is significant. Open hernia surgery is also recommended to treat recurrent hernias.

  2. Laparoscopic surgery for hernia repair – This is a minimally-invasive surgical procedure where the surgeon makes 2-3 small incisions and inserts a laparoscope through them to view inside the abdomen and the hernia. This treatment is considered feasible for smaller hernias that do not pose any severe complications. This treatment is also recommended to patients looking for a quick recovery post-surgery.

The treatment approach, however, is not limited to the sizes. A healthcare professional considers several other factors to determine the best surgical approach for hernia treatment

Factors That Affect the Size of Hernia

Irrespective of the place of origin, hernias are always small in size when they originate and they gradually grow bigger with time. Here are some factors that contribute to the growth of a hernia and worsening of its symptoms.

  • Cause of the hernia – The cause of the hernia determines its size. If the underlying cause of the hernia is weak abdominal muscles, a very littel strain on them may cause the hernia to quickly grow bigger in size.
  • The duration of the hernia – Hernias grow large over time. The abdominal walls continue to bulge as the hernia grows bigger in size. This further causes the nearby tissues to protrude more through the defective area.
  • Obesity – People with obesity and high BMI is at a significantly greater risk of large hernias. The constant intra-abdominal pressure contributes to quick enlargement of the hernia. 
  • Gender and age – Medical reports state that pregnant women are at a greater risk of hernia. As the fetus grows, it exerts pressure on the abdomen, which in turn leads to muscle weakness and stretching.

Understanding the anatomy of the hernia, the factors that influence the size, and the symptoms associated with the condition are crucial to determine the best treatment for hernia.

Risks and complications of Hernia

Regardless of the size, any and every type of hernia can lead to further risks and complications if left untreated. Complications associated with smaller hernias include pain and discomfort in the abdomen. Larger hernias may cause complications such as strangulation, bowel obstruction, and even tissue death. The complications of untreated large hernias are more severe and may, at times, be life-threatening. Furthermore, untreated hernia of any size may lead the tissues to get trapped in the hernia sac. This condition is extremely painful and requires emergency surgical treatment. Additionally, there might be mesh-related complications like mesh migration or infection in the tissues. Complications of mesh can occur for any type and size of hernia and are not restricted to a particular hernia size.

FAQs Around Hernia Size Chart in MM

Do hernias vary in size?

Yes, hernias can vary in size. Different types of hernia may range from small to very large. Small hernias can be approximately 1-2 cm in diameter. Whereas the very big ones may grow up to 10 cm in diameter.

What is the normal size of a hernia?

There is nothing called ‘normal’ when it comes to hernia size. Hernias can range from small to large and very large based on different factors.

What makes a hernia grow bigger?

Leaving the hernia untreated makes it grow bigger. Hernias grow big also due to intra-abdominal pressure in and around the bulge. Consistently exerting weight in the abdomen, and persistent cough can also make a hernia grow bigger, 

How can I shrink my hernia naturally?

Hernias cannot shrink naturally. The only way to effectively repair a hernia is surgery. The best way to repair a hernia of any size is surgery.

Is a 2.5 cm hernia big?

A 2.5 cm hernia is not usually considered big. But, it still necessitates timely treatment. It is important to consult a general surgeon or a gastroenterologist for proper treatment of a hernia.

Is a 10 cm hernia big?

Yes. A 10 cm hernia is considered a big hernia. They may often put you at risk of strangulation and death of the abdominal tissues. A 10 cm hernia needs immediate surgical hernia repair.

What is the size of the hernia mesh?

For open repair, the mesh size is 15 cm x 9 cm. For laparoscopic hernia repair, the mesh size is 15 cm x 10 cm. 

Can hernia mesh size differ?

Yes, hernia mesh size may differ based on the location of the hernia, the size of the hernia, and the method of hernia repair surgery.

When to consult a doctor for hernia treatment?

Consultation with a healthcare professional is recommended if you notice any of these signs:

  • A bulge that is constantly getting bigger
  • Change in the bulge color to dark red, purple or brownish
  • A bulge that used to go back inside the abdomen but no longer does
  • Fever and chills
  • Pain that gets worse with passing days
  • Constant nausea and vomiting
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Medically Reviewed By
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Dr. Ramesh Das
27 Years Experience Overall
Last Updated : February 21, 2025

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