Yes, in many cases. Heart disease does not rule out a hernia repair, but your heart doctor checks your heart before a date is fixed.
After a recent heart attack or stent, a planned repair often waits some months. Your surgeon and heart doctor agree the timing together.
Chest pain, sudden breathlessness or a racing heart after surgery need help at once. Do not wait to see if it settles.
Heart disease and hernias are both common as people get older. Many people with a groin or belly hernia also have a heart problem. They may have had a heart attack, a stent, chest pain on walking, or a weak heart pump.
This page explains how the heart is checked before a hernia repair, why timing matters, and what to watch for after the operation.
Why the heart matters for a hernia repair
Any operation puts some extra work on the heart. Pain, anaesthesia, fluids and lying in bed all play a part. A healthy heart copes with this well. A heart that is already struggling needs more care.
So the team wants to know how well your heart works today. That decides when to operate, which anaesthesia suits you, and how closely you are watched after.
The heart check before surgery
Your surgeon asks about your heart history and your tablets. You will usually have an ECG, and often a heart scan called an echo. Your heart doctor may see you as well.
Bring every heart report you have, your discharge papers, and your full medicine list. Old reports can save repeat tests.
Heart conditions and a hernia repair
Heart conditions and a hernia repair
Heart condition
What the team checks
What it can change
Past heart attack
How long ago, and how the heart pumps now
The timing of a planned repair
Stent
Which blood thinners you take
The blood-thinner plan
Chest pain on effort
Whether it is stable
A heart test before the date
Weak heart pump
Breathing, swelling, fluid balance
Anaesthesia and fluids
Irregular heartbeat
Heart rate and blood thinners
Monitoring and the tablet plan
Have a heart condition and a hernia? Bring your heart reports and medicine list to the first visit.
A planned hernia repair is not urgent. After a recent heart attack or a new stent, it is often safer to wait some months. This gives the heart time to settle and the blood-thinner plan time to run its course.
A hernia that is stuck, hard or very painful is different. That is an emergency, and it is treated straight away with the heart team involved.
Your heart tablets
Most heart tablets are taken as usual, even on the morning of surgery, with a sip of water. Blood thinners are different. Some are paused for a few days and some must continue.
Never stop a heart tablet on your own. The team gives you a written plan for each one.
After the operation
You may be watched for longer, with your heart rate and blood pressure checked often. Walking starts early, and pain is kept under control so the heart is not strained.
Get help at once if you have chest pain, sudden breathlessness, a racing heart, fainting, or new swelling of the legs.
Frequently asked questions
Can a heart patient have hernia surgery?
Yes, many do. The heart doctor checks how well the heart is working, and the timing and anaesthesia are planned around it.
How long after a heart attack or stent should I wait?
For a planned repair, often some months. Your surgeon and heart doctor decide the timing together, based on your own case.
Do I stop my heart tablets before surgery?
Not on your own. Most heart tablets are taken as usual. Blood thinners have their own written plan from the team.
Is keyhole surgery harder on the heart?
The gas used in keyhole surgery adds some strain. The team weighs this with your heart doctor when choosing the method.
What if my hernia gets stuck?
A stuck, hard or very painful hernia is an emergency. It is treated straight away, with the heart team involved.
Dr Harsh Shah, MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology) Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad Bring your reports. Second opinions are welcome.