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An abdominal hernia is a bulge or swelling. It happens when some of the contents inside your abdomen (tummy), such as fat or bowel, push through a weakness in your abdominal wall muscle. The abdominal wall is a sheet of tough muscles and tendons that run between your ribs and your groin (upper part of your leg).n abdominal hernia is a bulge or swelling. It happens when some of the contents inside your abdomen (tummy), such as fat or bowel, push through a weakness in your abdominal wall muscle. The abdominal wall is a sheet of tough muscles and tendons that run between your ribs and your groin (upper part of your leg).
Inguinal hernias are caused by a hole in the muscle of the groin. This hole can either be lateral to the blood vessels (indirect inguinal hernia), or towards the middle from the blood vessels (direct inguinal hernia). Regardless, in open surgery, the muscle layers over the weakened muscle are opened.