Patient Q&A
Abdominal wall reconstruction,Component Separation
Asked for patient, 53 years
Asked 4 Months ago
Sir, I have had an incisional hernia operation once and had a mesh fitted. The hernia has reappeared after 1 year, Now I want to ask you for advice on what would be best to do.
2 doctor answers
You need to consult a plastic surgeon for that
Dealing with a recurrent incisional hernia after already undergoing mesh surgery can be frustrating and concerning. However, recurrence is a known challenge in hernia repair, and there are well-established approaches to manage and fix it effectively.
Even after mesh placement, a hernia can return due to a variety of factors:
Mesh Issues: The mesh may have shifted, shrunk, or stretched over time.
Tissue Healing: The original tissue edges surrounding the mesh may have weakened.
Increased Abdominal Pressure: Chronic coughing, constipation, heavy lifting, or weight gain can put continuous stress on the repair site.
Revision repairs require tailored planning compared to a first-time hernia operation.
Revision surgery is generally the standard fix for a recurrent hernia. Depending on the CT scan results, options include:
Laparoscopic / Robotic Revision: Minimally invasive techniques to place a new, larger mesh behind the defect.
Abdominal Wall Reconstruction (e.g., Component Separation): For complex or larger recurrent hernias, surgeons release specific muscle layers of the abdominal wall to pull your natural muscles back together over a new mesh.