IDENTIFICATION OF CAUSATIVE FACTORS FOR RECURRENCE OF HERNIA AMONG PATIENTS UNDERGOING HERNIA SURGERY: A DESCRIPTIVE STUDY

Background:Despite advancements in surgical techniques, hernia recurrence remains a significant clinical issue. Various patient-related and technical factors influence recurrence following primary or recurrent hernia repair. Objective:To identify the causative factors associated with the recurrence of hernia among patients who have undergone hernia surgery. Methods:A descriptive study was conducted among 10 post-hernia surgery patients using a case-record-based approach. Demographic details, clinical history, surgical data, complications, and recurrence status were collected and analyzed. Results:Among the 10 patients (5 males, 5 females), 5 (50%) had a recurrence of hernia. Common risk factors associated with recurrence included obesity, history of prior hernia repair, smoking, missed hernia sacs, and strenuous physical activity. Mesh-related complications were noted but did not outweigh the benefits of mesh use in preventing recurrence. Conclusion:Technical factors such as surgical expertise, mesh fixation, and proper dissection, alongside patient-related factors like obesity and smoking, significantly contribute to hernia recurrence. Long-term follow-up and patient education are critical for reducing recurrence rates.