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Inguinal hernia recurrence
Sounds like a recurrence, and sounds like pain is from the hernia. An open approach probably wouldn’t be the best, but you would have to find an experienced laparoscopic surgeon to look in with a scope. You can find surgeons interested in hernia repair at the Americas Hernia Society website. Whether or not they do lap repair in this situation is unknown, but you could always ask. You are right to look in to it a bit more Hope this helps!