Chances Of Inguinal Hernia Recurrence

With 13 of all groin hernia repairs being performed for recurrent hernias recurrence after inguinal hernia repair remains a clinical problem in present day scenario. Inguinal hernias can. Recurrence rates of over 15 for primary repair were accepted before the mesh techniques were introduced.

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For many years recurrence was the only criterion by which the quality of a hernia repair was measured.

Chances of inguinal hernia recurrence. Special surgical considerations aimed to reduce the risk of recurrence are outlined in the instructions for use section step 6 of the ifu. A recurrent inguinal hernia occurs due to a weakening in the groin muscle which recurs even after surgical intervention. The risk of potential entrapment of intra abdominal contents is significantly higher and therefore the patient is at greater risk of developing a potential surgical emergency. It is rare for an inguinal hernia to come back 1 to 3 percent chance depending on the type of hernia and many other factors.

In some cases it has actually increased a patient s chance of suffering from a recurrent hernia due to the mesh s defective design or manufacture. Reasons why a hernia may come recur. A stitched repair no mesh used is now rarely performed as the risk of recurrence is at least 5 times higher compared to a mesh repair. All the measures to decrease the burden of recurrences should be used which can only be done by getting the knowledge of patient related risk factors along with knowledge of the controllable technical risk factors.

Surgical mesh is meant to reduce hernia recurrence but it does not eliminate it. Type of operation that was performed e g. Incisional hernias are more likely to return. Hernia recurrence occurs when a patient s hernia comes back after he or she has had a surgical mesh inserted.

Family history male gender and age are significant risk factors for inguinal hernia disease. This is the case for inguinal femoral incisional and umbilical hernia repairs type of hernia e g. See step 6 for special instructions concerning positioning the graft around the spermatic cord. Family history provides evidence for a genetic trait and could explain early recurrence after inguinal hernia repair despite technical advance at least in a subgroup of patients.

Incisional hernias have a much higher risk compared to an inguinal hernia repair. When a hernia comes back after being repaired this is called a recurrence. Inguinal hernia repair is one of the most frequently performed elective operations today. As with all tensionless inguinal hernia repairs in obese patients a higher risk of recurrence may exist.

The outcome for most hernias is usually good with treatment. Hernia treatment outcomes with surgery.