While most hernias are completely curable with proper surgery, a small percentage can reappear months or years later — known as a recurrent hernia.
“Recurrence is not common today, but when it occurs, it’s usually because the original repair was weak or the patient’s recovery protocol wasn’t followed carefully,” says Dr. Rajeev Kapoor, senior gastrointestinal and laparoscopic surgeon, Chandigarh.
A recurrent hernia can cause greater discomfort than the first one — but with the latest mesh technology and laparoscopic repair, it can be corrected safely and permanently.
1️⃣ What Is a Recurrent Hernia?
A recurrent hernia develops at or near the site of a previous hernia repair. The repaired muscle or mesh may weaken again, allowing tissue to bulge through the same area.
It can appear months or even years after the initial surgery.
2️⃣ Common Causes of Hernia Recurrence
| Cause | Explanation |
| Poor tissue healing | Smoking, diabetes, or poor nutrition may weaken tissue strength. |
| Infection after surgery | Delayed healing or mesh rejection can compromise the repair. |
| Excessive strain | Lifting weights, coughing, or constipation soon after surgery. |
| Obesity | Increases intra-abdominal pressure. |
| Inappropriate surgical technique | Incorrect mesh placement or under-tension repairs. |
“In most cases, the issue isn’t the mesh itself — it’s the pressure the body puts on it before full healing,” Dr. Kapoor explains.
3️⃣ Symptoms of a Recurrent Hernia
- A new lump or bulge at the previous surgical site
- Pain or burning sensation that worsens on coughing or standing
- Heaviness, bloating, or tightness in the abdomen
- In severe cases: nausea, vomiting, or bowel obstruction symptoms
4️⃣ How Recurrent Hernias Are Treated
a. Laparoscopic Re-repair (Preferred Method)
Using keyhole incisions, the surgeon places a new mesh layer from behind the muscle, reinforcing the weak area without disturbing old scar tissue.
Advantages:
✅ Minimal trauma and pain
✅ Better visualization of old repair
✅ Reduced infection risk
✅ Shorter hospital stay
b. Open Re-repair
Reserved for very large or complex cases. Involves removing old mesh and reconstructing the defect.
“Laparoscopy has revolutionized redo surgeries — we can operate safely even when there’s old mesh or scar tissue,” adds Dr. Kapoor.
5️⃣ Preventing Hernia Recurrence
Before Surgery:
- Quit smoking and manage diabetes.
- Achieve a healthy weight.
After Surgery:
✅ Avoid lifting >5 kg for six weeks.
✅ Treat cough and constipation promptly.
✅ Eat protein-rich foods (eggs, dal, fish, paneer) to promote healing.
✅ Stay active but avoid strain.
✅ Attend follow-ups as advised.
6️⃣ Long-Term Outlook
With modern laparoscopic mesh reinforcement and patient compliance, the recurrence rate has dropped below 1–2 % in expert hands.
“In experienced centres, recurrent hernias have become extremely rare. Precision, planning, and patient discipline make all the difference,” notes Dr. Kapoor.
Conclusion
A recurrent hernia can be frustrating, but it’s far from untreatable. Advanced laparoscopic repair offers a durable, scar-free solution with quick recovery.
If you’ve previously undergone hernia surgery and notice a new bulge or discomfort, consult Dr. Rajeev Kapoor, one of Chandigarh’s leading specialists in complex and recurrent hernia management.
