Complex Multiple Recurrent Hernias

A hernia occurs when tissue or part of an organ protrudes through the abdominal wall. Complex multiple recurrent hernias refer to those hernias that develop again after a repair has taken place.  Unfortunately, the chance of a successful hernia repair diminishes with each successive surgery. Complex multiple recurrent hernias are frequently accompanied by complications such as infection.

Causes of Complex Multiple Recurrent Hernias

Complex multiple recurrent hernias may be caused by an inadequate surgical repair of the original hernia or may be the result of the same events that caused the original hernia, such as the following:

• Strenuous exercise
• Increased pressure within the abdomen due to accumulation of fluid
• Straining during bowel movements or urination
• Heavy lifting
• Pregnancy
• Excessive weight gain
• Chronic coughing or sneezing
• Abdominal injury or post-surgical complications

Types of Complex Multiple Recurrent Hernias

Any type of hernia may recur. Types of hernia include:

The Complex Multiple Recurrent Hernias Repair Procedure

Complex multiple recurrent hernias require surgical repair. Hernias that have been repaired by pulling tissue together and suturing it have a greater rate of recurrence than those repaired using surgical mesh, repair of complex multiple recurrent hernias usually utilizes the latter technique. Modern tension-free mesh repair generally results in a better surgical outcome. Sometimes a biologic mesh graft, created from human or animal sources, may be used because it offers resistance to infections.

Surgical hernia repairs may be performed with open surgery or laparoscopically. Where laparoscopic surgery is possible, it is a much less invasive procedure, requiring smaller incisions and resulting in less pain, less scarring, and a shorter recovery period.

Risks of Complex Multiple Recurrent Hernias Repair Procedure

Hernias, particularly when they have recurred, do not resolve on their own. In fact, they tend to grow larger and more problematic over time, causing more swelling and pain. There is also the danger that an untreated hernia may incarcerate, where tissue becomes trapped in the hernia, or strangulate, in which case blood flow to organs is impeded. Either of these situations is a medical emergency.

To learn more about our Complex Multiple Recurrent Hernias Services, please contact us at (516) 627-5262 today to schedule an appointment.