-
Incisional hernias are common hernias. An incisional hernia occurs through previous surgical incisions. Hernia once repaired properly should not lead to recurrence. There are various reasons why recurrences happen. The recurrence risk of laparoscopic hernia repair is much less when compared to open hernia repair. The incidence of recurrence is around 10 percent or less. Here we present a unique case to discuss incisional hernia recurrence after multiple surgeries.
A middle-aged male who underwent previous surgery and previous incisional hernia repair with mesh presented to our surgeons at MH Surgery Clinic with persistent pain at the hernia area two years after surgery. He had multiple surgeries in the past and had a history of obesity.
During his evaluation, he underwent computed tomography which confirmed that there was a lump superior to the previous incision consistent with incisional hernia and a recurrence . He also had bowel that was incarcerated in the hernia sac. All prior surgeries and investigations and the current investigations were reviewed. He was diagnosed with recurrence after careful and close evaluation of the investigations by MH Surgery Clinic Surgeons. He was offered surgery.
During the surgery, we found a recurrence with the incarceration of the bowel due to previous multiple surgeries. This was causing on and off pain as the bowel was getting strangulated and there was incarceration. The hernia was reduced. This was technically a challenging surgery. All this was performed via a Minimally Invasive Advanced Surgery technique by our surgeons who are trained in the type of surgery at the Advanced Hernia Center. The patient underwent a complex procedure called using a new innovative TEP technique. The patient recovered extremely well and remained with significant low pain and was discharged home.