Importance of lipoma of the cord

I guess I am a little confused and it does not take much for that to happen me. In Dr Goldstein response 2 days ago “They can produce the same symptoms as any hernia except for bowel obstruction because they push on nerves and can even strangulate which causes severe pain as the fat dies. There is no difference between a cord lipoma and a fat containing hernia.” If the Lipoma can cause severe pain and bowel obstruction , why than is it mostly removed during open surgery “and not removed during laparoscopic repair because it is not necessary.”?

So in my case I was told after the surgery that I had an direct/indirect sliding hernia with removal of lipoma. Can that all be happening on the same side without any pain or bulge?

Plus what about the pathology and side effects or complication of removal of lipoma?

Thanks