left shadow

Hernia Surgery Expert Witness

PDF Print E-mail

A hernia occurs when a hole develops in the patient's abdomen through which an organ protrudes. It is a highly serious problem that is most commonly treated through corrective surgery. If surgeons act immediately, the surgery will have limited complications.

One of AME's hernia expert witnesses has written an exclusive medical malpractice article that we have provided, for your interest, below.

Hernia - Medical Malpractice

A groin hernia is a protrusion of intestines through the lower abdominal muscular wall. In a male, the testicle (testis) is formed near the kidneys and as the fetus develops the testicle passes through the lower abdominal muscles, down to the scrotum and leaves a potential space through those muscles. Sometimes it drags a little bit of the lining of the abdominal wall (called the peritoneum) with it. There are two kinds of hernias, an indirect and a direct. The congenital hernia is the indirect hernia, caused by the persistence of the protruding peritoneal sac along the passageway of the testis. The direct hernia is caused by the abdominal muscles stretching open from working and aging.

The area that stretches is the site of the greatest weakness around the spermatic cord which passes through these muscles and which brings blood to the testis and sperm from it through the vas deferens.

If there is a real hernia, surgery can be performed. The patient must be warned in advance that there is the chance of the loss of the testicle. If the patient is not informed, that is negligence. The alternative to surgery is the patient wearing a truss; however, this is less effective. There can be some persistent pain and discomfort, which is usually from tying the adjacent nerves in a suture, and is another negligent act.

The testicle is usually lost by sewing the muscles too tightly in the area of repair around the spermatic cord. This will squeeze off the testicle blood supply, causing irreversible damage. Some surgeons have such gross technique they will actually rip the spermatic cord apart! Occasionally postoperative bleeding will occur to such a degree that testicle damage will result. If the bleeding is extensive, exploratory surgery is required to control it, as well as to remove the blood clots (hematomas).

If a recurrent hernia develops it may not have occurred from negligent care. We must review all the records and be told how long the patient refrained from any heavy lifting or hard work. It usually takes three weeks for the hernia repair to properly heal. It is difficult to prove that the loss of a testicle following the repair of a recurrent hernia resulted from negligent care. There can be extensive scar tissue that makes the surgery more hazardous and the defense to that injury is often successful.

There are two nerves in this area, the ilioinguinal and iliohypogastric nerves and either one of them, if they're caught in a stitch, will cause chronic, persistent, severe pain which would require surgery to cut that nerve. If the nerve is cut, this would cause a little insignificant numbness in the upper groin. It can cause severe pain if ligated, which is negligent, and if this pain occurs immediately after surgery, persists and is not diagnosed properly, then it's further negligence causing more pain and suffering.



American Medical Experts (AME) is the Nation’s Leading Source of Medical Experts for Case Review and Testimony. We are a trusted partner of both Plaintiff and Defense Attorneys nationwide because we work directly with the most credible expert witnesses.

American Medical Experts offers the lowest rates in the industry for Complete Case Reviews ($695) and Expert Witness Reports ($995). Affidavits of Merit, Petitions, and Certificates of Merit (depending on your state requirements) are also available at the lowest rates. American Medical Experts works with the most Experienced and Credible Medical Expert Witnesses in the country.


Our goal is to contain your costs and obtain the most qualified Medical Expert Witness for your cases and to build a long-standing relationship with you, our valued attorney clients.


Our Flat Rate Fee Schedule is designed to contain your costs for Complete Case Reviews and Expert Witness Reports. Visit our Expert Witness Directory for a complete listing of our experienced and credible Medical Expert Witnesses. American Medical Experts also offers Rush Service if you are under a time constraint and need your Expert Witness Report immediately.

We have over 30 years of experience working with the most highly-qualified, board-certified expert witnesses in the industry. Let our experience work for you!




Experts Nationwide
Alabama AL, Alaska AK, Arizona AZ, Arkansas AR, California CA, Colorado CO, Connecticut CT, Delaware DE, District of Columbia DC, Florida FL, Georgia GA, Hawaii HI, Idaho ID, Illinois IL, Indiana IN, Iowa IA, Kansas KS, Kentucky KY, Louisiana LA, Maine ME, Maryland MD, Massachusetts MA, Michigan MI, Minnesota MN, Mississippi MS, Missouri MO, Montana MT, Nebraska NE, Nevada NV, New Hampshire NH, New Jersey NJ, New Mexico NM, New York NY, North Carolina NC, North Dakota ND, Ohio OH, Oklahoma OK, Oregon OR, Pennsylvania PA, Puerto Rico PR, Rhode Island RI, South Carolina SC, South Dakota SD, Tennessee TN, Texas TX, Utah UT, Vermont VT, Virginia VA, Washington WA, West Virginia WV, Wisconsin WI, Wyoming WY