Recurrent Hernia
Hernias occur when the abdominal tissues or organs push through a weak spot in the abdominal wall. Most hernias are repaired surgically. In rare cases, a hernia could return even after surgical repair. At Nova Bariatrics & General Surgery, Dr. Alibhai and his professional team provide different treatment options for recurrent hernias in Arlington, Irving, and Paris TX. We will evaluate the underlying cause of hernia and address it with effective measures to prevent its recurrence.
Causes
Recurrent hernia can also happen due to other medical conditions or activities that may weaken your abdominal muscles after the initial surgery. Common factors include:
- Obesity
- Smoking
- Diabetes
- Medications that weaken the immune system
- Heavy weight lifting or strenuous physical activities
- Chronic coughing
- Straining during bowel movements
Diagnosis
We may also ask for a few imaging tests to achieve a proper diagnosis of recurrent hernia. These may include ultrasounds, CT scans, and MRI scans. With these imaging tests, we can also identify the size and exact location of the hernia to finalize a treatment plan.
Treatment Options for Recurrent Hernias
The treatment of recurrent hernia depends on the severity of your symptoms. If the hernia is mild and does not cause pain or other issues, we may recommend conservative measures to prevent further complications.
If the hernia causes excessive pain or discomfort and disrupts your routine activities, we will recommend surgical options. Depending on the size of the hernia and its location, our surgeon will decide the most effective technique for your condition.
Recurrent hernias can be repaired through open or laparoscopic surgery. In an open surgery, we will make an incision over the hernia site and push the bulging tissues back into the abdomen. We will close the incision with sutures or a synthetic mesh.
Laparoscopic hernia repair is less invasive as it involves smaller incisions. Through the incisions, we will insert a tiny camera (laparoscope) and special surgical instruments to repair the weak spot in the abdominal wall. This procedure takes less time than conventional surgery.
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Frequently Asked Questions
What is a recurrent hernia?
A recurrent hernia is one that returns at or near the site of a previous hernia repair. Even though most repairs are successful, a small number of hernias come back because the repaired area weakens again or doesn’t heal fully.
Why do hernias come back after surgery?
Recurrence can result from incomplete healing, tension on the sutures, or a technical issue with the original repair. Personal factors also play a role, including obesity, smoking, diabetes, chronic coughing, heavy lifting, and straining during bowel movements, all of which stress the healing abdominal wall.
What are the signs that my hernia has returned?
Common signs include a new bulge or lump at or near your old surgical site, discomfort or pain that increases with lifting or straining, and a feeling of pressure in the area. If you notice these, schedule an evaluation so we can confirm the diagnosis with a physical exam and, if needed, imaging.
Is repairing a recurrent hernia more complicated than the first surgery?
It can be, because scar tissue from the previous operation may be present and the surrounding tissue may be weaker. This is why recurrent hernias benefit from an experienced surgeon who can identify the underlying cause and choose the most durable repair technique for your situation.
Will mesh be used in my recurrent hernia repair?
Often, yes. Reinforcing the weak area with a synthetic mesh helps distribute pressure and lower the chance of another recurrence. Whether mesh is used, and the specific approach, depends on the hernia’s size, location, and your overall health. Dr. Alibhai will discuss the options with you.
Can a recurrent hernia be repaired laparoscopically?
In many cases, yes. Laparoscopic (minimally invasive) repair uses small incisions and a camera, typically resulting in less scarring and a shorter recovery. The best method is decided after evaluating the size and location of the recurrence.
How can I lower my risk of another recurrence?
Maintaining a healthy weight, not smoking, managing conditions like diabetes, avoiding heavy lifting during recovery, treating chronic cough, and following your surgeon’s post-operative instructions all help support lasting healing.