Overview
A recurrent inguinal hernia is one that returns to the groin following a previous surgical repair. This is amongst the most technically demanding presentations in hernia surgery, as the surgeon must navigate scar tissue, previous mesh if present, and a weakened anatomical structure. Mr Woodward’s breadth of technique open, laparoscopic, mesh, and non-mesh makes him well suited to manage these cases, and he will review the full history of each patient before recommending the most appropriate approach.
Conditions Treated
- Inguinal hernia returned after open repair
- Recurrence following laparoscopic repair
- Hernia recurrence after mesh repair
- Multiple recurrent inguinal hernias
- Recurrence in high-risk or older patients
The Procedure
The technique used for recurrent repair is determined by the original operation, the type of recurrence, and the patient’s anatomy. If mesh was used previously, Mr Woodward works carefully around it, adapting the approach to maximise durability and minimise risk. Laparoscopic repair is often the preferred choice for recurrences following open surgery, as it allows access through tissue that has not previously been disturbed. The full plan is discussed at the pre-operative consultation.
Recovery & Aftercare
Recovery from recurrent hernia repair is broadly similar to primary repair, though this may vary depending on the complexity of the case. Most patients are discharged the same day. Mr Woodward provides a personalised post-operative plan and remains available throughout recovery to address any concerns particularly given the complexity that these patients have already navigated.
Frequently Asked Questions
Why has my hernia come back after surgery?
Recurrence can occur for several reasons including surgical technique, patient anatomy, activity levels, or the development of new weakness near the original repair site.
Is a second hernia repair more complicated?
Yes, recurrent repairs are technically more demanding. This is why it is important to be assessed by a surgeon with wide hernia experience and a range of repair options.
Can my recurrent hernia be repaired laparoscopically?
In many cases, yes particularly if the original repair was open surgery. Mr Woodward will assess your suitability for laparoscopic recurrent repair at consultation.