Hernia repair surgery is highly effective, but there is always a risk that the hernia could recur. Certain lifestyle factors, such as smoking, can increase the likelihood of recurrence.
A recent study has revealed that smoking significantly increases the risk of hernia recurrence. Here, we’ll explore what the study found, other common risk factors for hernia recurrence, and how a recurrent hernia is treated.
Smoking increases risk of hernia recurrence
To evaluate the impact of smoking on hernia recurrence, researchers in France reviewed studies comparing postoperative outcomes in smoking and non-smoking patients after inguinal hernia repair. They found that smoking is associated with a three-fold increase in the risk of hernia recurrence.
The findings clearly show that smoking significantly increases the risk of hernia recurrence, highlighting the importance of smoking cessation. However, further research is needed to evaluate the impact of preoperative smoking cessation on reducing recurrence rates.
Risk factors for hernia recurrence
In addition to smoking, several other factors can increase the risk of hernia recurrence. These include:
- Previous hernia repairs
- Obesity
- Poor surgical technique
- Heavy lifting
Patients with incisional hernias, or those who have had multiple hernia repairs, are at a higher risk of recurrence compared with those with inguinal hernias. Each subsequent surgery can weaken the abdominal wall, making it more susceptible to future hernias.
To minimise the risk of hernia recurrence, it is advisable to maintain a healthy weight and to avoid heavy lifting – especially in the weeks following surgery. Choosing an expert surgeon to carry out any hernia repair lowers the risk or recurrence, and it is essential to follow their pre and post-operative care instructions. Mr Stellakis is a specialist hernia surgeon, and is highly experienced in the TAP keyhole technique, with a low recurrence rate.
How is a recurrent hernia treated?
Treating a recurrent hernia often requires a different approach than the initial repair. If the original repair was done using an open surgical method, a laparoscopic (keyhole) approach is usually recommended for the recurrent hernia.
Laparoscopic surgery involves making small incisions and using a camera and specialised instruments to repair the hernia from inside the abdomen. The risk of hernia recurrence is reduced to approximately 1% with laparoscopic surgery, compared to a 20% risk if the hernia is repaired using open surgery again. There is also risk to the testicle if another open repair is done.
If you have a recurring hernia or are concerned about the risk of recurrence, it is crucial to seek professional medical advice. Schedule an appointment with Mr Michael Stellakis to discuss your condition and explore the best treatment options.
