Recurrent Hernia: Why It Happens and How It's Repaired

A recurrent hernia is one that returns at the site of a previous repair. It's uncommon with modern mesh techniques, but it does happen, and it's very treatable.

Why hernias recur

Several factors play a part: the technique and mesh used in the first repair, wound healing, and patient factors such as smoking, obesity, persistent coughing, straining or heavy lifting during recovery. Sometimes there's no obvious reason.

How they're repaired

Recurrent repairs are generally more complex than the original, because of scar tissue and altered anatomy. A common strategy is to approach the hernia from a different plane than the first operation — for example, a keyhole or robotic repair after a previous open one — reinforced with mesh. The robotic approach can be particularly helpful for the precision needed in scarred tissue.

Reducing the risk

Choosing an experienced surgeon for the first repair, not smoking, maintaining a healthy weight, and following lifting advice during recovery all help keep recurrence low.

The outlook

With the right technique, recurrent hernias are repaired successfully and most patients do very well.

This article provides general information and is not a substitute for individual medical advice. Please consult a qualified clinician about your own circumstances.