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What To Do If Hernia Comes Back? The hernia can come back due to 2 main factors - Patient factors and / or Surgeon or hospital related factors. Can Hernia come back after surgery? After Laparoscopic surgery for a hernia, the rate of recurrence of Hernia is only 2% across the world. The hernia can come back in 20% of open hernia surgery operations. Is Lap repair of Hernia better in Diabetics? Yes, since there is no opening of the abdomen and the surgery is performed through small holes, with 3 to 4 stitches. This greatly reduces the chances of infection, which is a major issue in diabetics as well as patients who are overweight and have other co-morbidities. This also answers the question - is lap repair of hernia better in overweight patients. Let us look in detail at the question - What To Do If Hernia Comes Back? Can Hernia come back after surgery? Why does the hernia recur after surgery? especially after open hernia repair as compared to Laparoscopic hernia surgery? Yes, hernias do come back after surgery. this is called recurrence of the hernia. A Hernia recurs because of following factors - 1. Patient-related factors in hernia recurrence being Diabetes and Obesity or overweight. the lifting of heavy weights or any form of exercise that increases the intra-abdominal pressure before the wound has healed properly can often cause the hernia to come back. In sportspersons, lifting of weights may cause the intra-abdominal pressure to rise and the tissue holding the mesh in place may give way, leading to the hernia recurrence after surgery. In some patients, there is tissue failure. This is seen in patients with abnormal collagen in tissue, which causes failure of the tissue during healing. The tissue tears and the mesh gets displaced, leading to infection and failure of the surgery. What To Do If Hernia Comes Back- Surgeon-related factors that cause a hernia to come back or a hernia to recur are - Infection due to inappropriate sterility precautions prior to surgery, inadequate mesh size for reasons of cost-cutting, inappropriate mesh, for cost-cutting,