Management Of Recurrent Inguinal Hernia

From the patients perspective the initial physical and mental investment in the operation has failed.

Management of recurrent inguinal hernia. An inguinal hernia occurs when abdominal cavity contents enter into the inguinal canal. Although other procedure related complications are important and have been shown to affect health related quality of life parameters 1 recurrence is more challenging for the patients and the surgeon. This may include pain or discomfort especially with coughing exercise or bowel movements. If the hernia repair fails and the hernia reappears this is referred to as a recurrent hernia.

Recurrent inguinal hernia will be reviewed here. Symptoms are present in about 66 of affected people. Recurrent inguinal hernia previously treated by open anterior technique can be repaired using the same approach often on an outpatient basis with a low rate of recurrence and. Depending on follow up duration rates following primary inguinal hernia repair are up to 15 25 although actual reoperation rates are usually less.

Surgery is also important for preventing strangulation of hernias and for treating hernias that are painful and difficult to reduce. A bulging area may occur that becomes larger when bearing down. Patients with symptomatic large or recurrent inguinal hernias should be referred for repair generally within one month of detection. Diagnosis and management.

They are the most common type of hernia and account for around 75 of all anterior abdominal wall hernias with a prevalence of 4 in those over 45 years. 26 determinants of recurrence are similar to those for primary hernias but also include technical expertise which is a function of a surgeon s case volume or specialisation. In this article we shall look at the classification clinical features and management of inguinal herniae. The treatment of inguinal hernia in adults remains largely surgical as this offers the potential for cure.

Symptoms of recurrent hernia a recurrent hernia is recognized as a bulge sometimes painful that appears at or near the site of. The ultimate measure of success of inguinal hernia repair is the rate of recurrence. Management of recurrent inguinal hernia after previous mesh repair. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal.

Article in german schwab r 1 conze j willms a klinge u.