How We Repair Incisional & Recurrent Hernias
Every repair starts with understanding why the hernia happened — the original operation, the tissue quality, and any prior mesh. Smaller incisional hernias may be repaired laparoscopically or robotically with mesh placed behind the abdominal wall; larger and multiply recurrent defects may need open repair with wide mesh reinforcement, and in selected cases techniques that restore the natural midline of the abdominal wall. The goal is a durable repair that breaks the cycle of recurrence — not just a patch.
Hernia SurgeryVentral Hernia RepairInguinal Hernia RepairRobotic Hernia RepairDr. Joshua EllenhornDr. Jason CohenSecond OpinionContact Us
Your Surgeons
Complex hernia repair at Surgery Group LA is led by Dr. Joshua Ellenhorn, a board-certified surgeon experienced in complex abdominal surgery and robotic repair, with Dr. Jason Cohen. Both operate at Cedars-Sinai Medical Center in Los Angeles, and both regularly see patients whose hernias have recurred after repairs elsewhere.
A Second Opinion Is Worth It
If your hernia has come back — especially more than once — the next repair matters most. A careful review of your operative history, imaging, and tissue quality often changes the recommended approach. We are happy to provide a surgical second opinion before you commit to another operation.
Frequently Asked Questions
Why do hernias come back after repair?
Common reasons include repairs done under tension, defects closed without adequate reinforcement, wound-healing problems, infection, smoking, obesity, and heavy strain during early recovery. Recurrent hernias need a different, more considered strategy than the original repair — simply repeating the same operation invites the same result.
Can an incisional hernia be repaired robotically?
Often, yes. Robotic repair is well suited to many incisional and recurrent hernias because it allows precise dissection of scar tissue, closure of the defect, and mesh placement behind the abdominal wall through small incisions. Very large or complicated defects may still be best served by open repair — your surgeon will advise which approach gives the most durable result.
How long is recovery after incisional hernia repair?
It varies with the size of the repair. Smaller robotic repairs are often outpatient with a return to light activity in days. Larger open reconstructions may involve a short hospital stay and several weeks of restricted lifting while the abdominal wall heals. Protecting the repair during early recovery is a key part of preventing another recurrence.
Where is incisional and recurrent hernia repair performed in Los Angeles?
Consultations take place at 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048, and surgery is performed at Cedars-Sinai Medical Center and its affiliated surgical facilities. Call (310) 861-7493 to schedule.