Patient guide · Hernia surgery
Recurrent hernias: what to do when a repair has failed
By Mr Trif Papettas FRCS, Consultant Colorectal & General Surgeon · Reviewed Finding that a hernia has returned after previous surgery is understandably disheartening. The reassuring news is that recurrent hernias can be repaired successfully — and are often best handled by a surgeon who regularly manages complex and repeat cases.
Why hernias sometimes recur
Recurrence can follow from a number of things: the strength of the original tissues, the technique used, tension on the repair, wound infection, a second hernia that was present but not treated, or heavy strain and lifting afterwards. Smoking and other factors that affect healing can also play a part.
Assessing a recurrence
A careful examination is the starting point, sometimes supported by an ultrasound or CT scan. Imaging helps define the exact anatomy and shows where any previous mesh sits — both of which shape the plan.
Choosing the approach
A useful general principle is that the second repair often approaches the hernia from a different direction to the first. If the original operation was open, a keyhole repair can enter fresh, unscarred tissue planes — and vice versa. Working in un-operated tissue can reduce difficulty and lower the risk to the groin nerves. Robotic-assisted repair is a helpful option for some complex recurrences.
Why experience matters here
Repeat and complex repairs are more demanding than a straightforward first-time operation, because of scarring, previous mesh and altered anatomy. This is exactly the kind of case where a high-volume surgeon adds value — including hernias that have been declined elsewhere.
Seek urgent help if a recurrent hernia becomes suddenly very painful, hard and tender, or is associated with vomiting — the same warning signs of a trapped hernia apply to a recurrence.
Get a clear answer
Consultant-led hernia assessment across Warwickshire — Leamington Spa, Warwick and Stratford. No GP referral required.
Book a consultationCommon questions
Can a recurrent hernia be repaired?
Is repairing a recurrence more complex?
Keyhole or open for a hernia that has come back?
Will it just recur again?
Mr Trif Papettas FRCS
Consultant Colorectal & General Surgeon at Nuffield Health Warwickshire Hospital, Leamington Spa. Fellow of the Royal College of Surgeons, JAG dual-accredited in colonoscopy and gastroscopy, with a large personal case volume in open, keyhole and robotic-assisted hernia repair — including complex and recurrent cases.