Recurrent Inguinal Hernia

  • Q. Lina Hu
  • David C. ChenEmail author


Hernia recurrence is an important complication of inguinal hernia repair. A complete evaluation should include information on prior repair technique and risk factors for recurrence. When the diagnosis is uncertain, imaging including ultrasound and cross-sectional modalities can be especially helpful. It is important to differentiate recurrence from other potential causes of postoperative groin symptoms. Operative approach depends on initial repair approach and technique as well as surgeon experience and expertise. In general, it is advisable to approach the hernia through a non-scarred surgical field whenever possible.


Recurrent inguinal hernia Evaluation Surgical repair Operative approach 


  1. 1.
    Barrat C, Surlin V, Bordea A, Champault G. Management of recurrent inguinal hernias: a prospective study of 163 cases. Hernia J Hernias Abdominal Wall Surg. 2003;7(3):125–9.CrossRefGoogle Scholar
  2. 2.
    Haapaniemi S, Gunnarsson U, Nordin P, Nilsson E. Reoperation after recurrent groin hernia repair. Ann Surg. 2001;234(1):122–6.CrossRefGoogle Scholar
  3. 3.
    Pisanu A, Podda M, Saba A, Porceddu G, Uccheddu A. Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair. Hernia J Hernias Abdominal Wall Surg. 2015;19(3):355–66.CrossRefGoogle Scholar
  4. 4.
    Gass M, Scheiwiller A, Sykora M, Metzger J. TAPP or TEP for recurrent inguinal hernia? Population-based analysis of prospective data on 1309 patients undergoing endoscopic repair for recurrent inguinal hernia. World J Surg. 2016;40(10):2348–52.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryDavid Geffen School of Medicine at University of California, Los AngelesLos AngelesUSA
  2. 2.Department of SurgeryLichtenstein Amid Hernia Clinic at University of California at Los AngelesLos AngelesUSA

Personalised recommendations