Complex Recurrent Hernia Repair
Expert solutions for failed hernia repairs and abdominal wall reconstruction.
Understanding Recurrent Hernias
A recurrent hernia happens when a previous surgical repair fails and the hernia returns, often near the original surgical site. According to the American College of Surgeons, recurrence is one of the most common complications of hernia surgery.
Why do they fail?
- Technical Factors: The previous mesh may have shrunk, moved, or wasn't large enough to cover the defect.
- Tissue Quality: Infection or scar tissue from previous surgeries can weaken the abdominal wall.
- Patient Factors: Smoking, unmanaged diabetes, or heavy lifting before full recovery can compromise the repair.
Note: Fixing a recurrent hernia is much more difficult than the first surgery. It requires a surgeon with specialized training in navigating scar tissue and reconstructing the abdominal wall.
Beyond the Patch: Restoring Function
For complex or large recurrent hernias, simply placing another patch is often not enough. At California Surgical Specialists, we perform Abdominal Wall Reconstruction (AWR).
Component Separation Technique: We carefully separate the layers of the abdominal muscle wall. This allows us to slide the muscles back into their natural position, closing the gap in the middle of your abdomen. This restores the structural integrity of your core, providing a functional, long-term repair that can withstand daily physical activity.
Precision Through Robotic Surgery
Dr. Abidali and Dr. Qureshi utilize the da Vinci® Surgical System for complex repairs. While traditional open surgery requires large incisions and long recovery times, the robotic approach offers distinct advantages for recurrent cases:
- Navigating Scar Tissue: The robot's 3D high-definition vision and wristed instruments allow us to safely dissect scar tissue (adhesions) from previous surgeries.
- Lower Infection Risk: Smaller incisions significantly reduce the risk of wound complications—a critical factor in recurrent hernia success.
- Faster Recovery: Most patients experience less pain and return to normal activities sooner than with open surgery.
Preparing You for a Successful Outcome
Surgery is only half the battle. To ensure your hernia does not return a third time, we take a "whole patient" approach. Before surgery, we may work with you to optimize your health:
- Smoking Cessation: Smoking restricts blood flow and is a leading cause of hernia recurrence.
- Diabetes Management: Controlling blood sugar is vital for proper wound healing.
- Weight Optimization: Reducing pressure on the abdominal wall increases the success rate of the repair.
How We Restore Your Health
Abdominal Wall Reconstruction (AWR)
Reorganizing muscle layers to close large gaps and restore core strength.
Robotic Precision
Using the da Vinci system to navigate scar tissue safely with minimal incisions.
Mesh Revision
Removing old, infected, or failed mesh and replacing it with advanced biologic or synthetic options.
Why Trust Us with Your Repair?
- Fellowship-trained surgeons specialized in complex abdominal surgery.
- High volume of revision surgeries performed.
- Focus on long-term durability and functional recovery.
- Personalized pre-surgical optimization plans.
Frequently Asked Questions
Don't Live with the Pain of a Failed Repair
You deserve a lasting solution. Schedule a consultation with our board-certified specialists to discuss your options for abdominal wall reconstruction.
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