Signs of Inguinal Hernia Recurrence

Noticed an unusual bulge again long after your hernia treatment? It could be one of the major signs of inguinal hernia recurrence. Hernias can be resilient, so it shouldn’t be a surprise.

However, you need a proper diagnosis to be sure. So, let us walk you through some symptoms you need to keep an eye out for:

What Is a Recurrent Inguinal Hernia?

An inguinal hernia occurs in the inguinal canal, a narrow passage where blood vessels that supply the testicle go through the abdominal wall. Most hernia surgeries are successful.

However, there is a chance that a hernia can return months or even years later. When a hernia comes back near the site of a previous repair, it is called a recurrent hernia.

Symptoms of Inguinal Hernia Recurrence

The symptoms of a recurrent inguinal hernia can vary. However, some typical ones include the following:

  • Visible Bulge: A common sign is a bulge at or near the site of the previous hernia repair. This bulge can cause discomfort and can change in size.
  • Pain: Unexplained pain in the abdomen or groin, especially during activities that put pressure on the abdomen, like coughing or lifting heavy objects, is another sign. This pain can happen even years after the first surgery.
  • Swelling: Swelling in the abdominal area, especially around the surgical site, could mean recurrence of the hernia. This swelling might be less obvious than before due to scar tissue.
  • Intestinal Obstruction Symptoms: In some cases, a recurrent hernia can block the intestines. This causes severe nausea, vomiting, trouble passing gas or stool, and a swollen abdomen. This is a serious issue that needs immediate medical help.
  • Pus or Fluid Discharge: In rare cases, pus or fluid may come from the surgical scar. This indicates an infection or problems with the mesh used in the repair.

Is a Recurrent Hernia Dangerous?

A recurrent hernia is a bulge, sometimes painful, that shows up at or near the spot of the original hernia. If it worsens and the intestines push into the hernia, it imposes serious health risks like infection or constipation.

Causes of Inguinal Hernia Recurrence

Several factors can weaken the initial surgical repair and cause new hernia growth. Understanding these causes is crucial for both patients and healthcare providers to avoid recurrence. The causes include:

  • Surgical Technique and Materials: Poor surgical techniques, such as incorrect placement or fixing of the mesh, can trigger recurrence. The size and type of mesh used also matter. For example, if the mesh is too small or faulty, it may not provide enough support.
  • Patient Factors: Certain health conditions and lifestyle choices can raise the risk of hernia recurrence, including:
  • Obesity: Extra weight adds pressure to the abdominal muscles, increasing the chance of the hernia coming back.
  • Smoking: Smoking can slow down wound healing and weaken tissue, making recurrences more likely.
  • Chronic Coughing: Ongoing coughing puts repeated strain on the abdominal wall, which can contribute to a hernia returning.
  • Diabetes: This condition affects healing and tissue strength, raising the risk of recurrence.
  • Postoperative Activity: Doing strenuous activities too soon after surgery can stress the repaired area. Patients are often advised to avoid heavy lifting or intense physical activity during recovery.
  • Genetic Factors: A family history of hernias may indicate a genetic tendency that affects tissue strength. This increases the risk of both initial and recurrent hernias.
  • Age and Gender: Older age and being male are known risk factors for hernias and recurrences. This is due to changes in tissue strength and elasticity over time.
  • Immunosuppressive Conditions: Long-term steroid use or immune system conditions can slow healing after surgery, raising the risk of recurrence.

Wrapping Up

It is important to acknowledge the signs of inguinal hernia recurrence on time. Delayed treatment can worsen the situation. Repairing recurrent hernias often requires highly complex abdominal surgery. The success rate tends to decrease with each re-operation.

Visit Dr. Rick Q. Ngo at Texas Hernia & Surgical Specialists. Our surgeon has extensive experience and has performed more than 1500 minimally invasive hernia repair surgeries. Call us at (888) 365-1544 for an appointment.

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