This video demonstrates Laparoscopic Hernia Repair Large Sac Tapp Repair. Larger hernias are difficult to treat, however, or hernias that are causing pain may require surgical repair to relieve pain as well as to prevent complications. There are two types of surgical hernia repair: open and minimally invasive surgery.  Typically, hernias don't hurt,   you see a bulge or lump in your belly or groin. Sometimes, you only see the bulge when you laugh, cough, or strain, like when you lift a heavy object. Often, you can press it back into place. If you do compute tomography you will see a voluminous hernia sac containing small and large bowel loops, greater omentum, and urinary bladder.