الفهرس 
Introduction and aim of the workOnly 14 pages are availabe for public view
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Abstract
Background: The incidence of recurrence of inguinal hernia after initial operation ranges from less than 1 % to 10%, this is due to many factors, as general condition of the patient before surgery, presence of medical problem such as diabetes mellitus, ascites, obesity, chest infection, and immunosuppression. Also the type of original procedure and if mesh was applied or not influence the process of recurrence. Technical errors during the primary repair may be the cause of recurrence such as, inadequate dissection of the sac, missed hernia, improper choice for the type of repair, non use of mesh, inadequate reconstruction of the internal ring, and post operative infection. The use of mesh in original repair dramatically reduces the incidence of recurrence. Repair of recurrent inguinal hernia involves 2 methods, laporoscopic method & open method. ¬Aim of work: To evaluate the different surgical modalities that are commonly used in treatment of recurrent inguinal hernia. Conclusions: There are two options for treating recurrent inguinal hernia,open surgery and laparoscopic surgery. The general principle for managing recurrent inguinal hernia depends on the original repair. The logical approach is to perform the herniorraphy in the space that has not been dissected. If the patient had a previous open repair, then laparoscopic repair is best. On the other hand, if the index surgery was a laparoscopic one, then a repair which is performed in the open inguinal space is best. For all types of recurrent inguinal hernia repair mesh application is mandatory and surgery need an expert surgeon who is interested in hernia.