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Inguinal Hernia Recurrence

Causes and current treatment approach for the recurrence of a previously repaired groin hernia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Inguinal Hernia Recurrence?

Inguinal hernia recurrence is the reappearance of a groin hernia in a patient who has previously undergone hernia surgery (hernioplasty). After primary repair, recurrence occurs at a rate of approximately 1-5% within 5 years. The recurrence rate with tissue (suture) repair techniques is higher than with mesh repair.

Technical factors (insufficient mesh overlap, mesh fixation errors, seroma causing mesh displacement), patient factors (obesity, chronic cough, heavy work), and biological factors (connective tissue weakness, collagen synthesis disorder) predispose to recurrence.

In recurrent hernioplasty, laparoscopic TAPP or TEP offers the advantage of accessing virgin tissue planes when the previous repair was open. If the previous laparoscopic repair has recurred, the Lichtenstein technique is preferred.

Symptoms

Reappearing groin swelling at the previous surgical site
Protrusion that becomes prominent on standing or straining
Pain or discomfort in the groin area
Swelling reduces or disappears when lying down
New swelling at a different location than the previous hernia surgery
Strangulation: sudden severe pain, tenderness, irreducible swelling

Risk Factors

Previous tissue repair (without mesh) technique
Chronic cough, constipation, and prostatism
Obesity and advanced age
Heavy physical work
Smoking (connective tissue weakness)
Inadequate postoperative recovery period

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New swelling at the previous surgical site
  • Strangulation symptoms: sudden pain, tender and irreducible swelling (urgent)
  • Groin pain affecting daily life
  • Recurrence within less than 6 months from initial hernia surgery
  • Bilateral hernia history or multiple recurrences

Treatment Methods

01
Laparoscopic TAPP/TEP: preferred when previous open repair has recurred
02
Lichtenstein technique: when previous laparoscopic repair has recurred; tension-free repair with mesh
03
Kugel or preperitoneal mesh: planning according to type of previous repair
04
Endoscopic tissue preparation: adhesiolysis must be done carefully (risk of vessel and nerve injury)
05
Bloodless postoperative monitoring and lifestyle changes in high recurrence risk patients
06
Emergency surgery in strangulated recurrence with bowel preservation when possible

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.