In general, the vast majority of inguinal hernias in adolescents are hiatal hernias, which are often congenital – that is, the “tunnel” exists before birth in males, and intra-abdominal organs such as the small intestine and greater omentum can exit through this tunnel into the groin, manifesting as a swelling and swelling and pain. In this case, the tunnel gradually heals after birth – that is, it grows dead. The organs in the abdominal cavity can’t come out. In some cases, however, it does not heal, and a congenital hiatal hernia forms. Presumably this was the case in your case, and by the age of 10 the symptoms became apparent and surgery was done. The usual hernia repair done in pediatrics simply ligates the protruding peritoneum, which we call the hernia sac. Because the musculature of the abdominal wall strengthens with age, it is not necessary to re-suture the musculofascia as is done in adults. However, the disadvantage is that the recurrence rate is higher. In your case, you will have to be examined to see if there is a recurrence. Why is it “approximate”? The reason why there is a “swelling” again after right inguinal hernia surgery may be: 1) it is not a hernia at all, such as enlarged lymph nodes, surgical scar, etc.; 2) it is indeed a hernia, but there are three cases: (1) true recurrence – that is, the original repaired area has become weak again. (2) the original right inguinal hernia was not only a hernia but also a straight hernia, and the surgery only repaired the hernia, so now the symptoms of the straight hernia appear; (3) the hernia was indeed repaired and now there is no recurrence, but now the straight hernia appears again, which is not uncommon because some scholars believe that a hernia is a weakness of the abdominal wall, and since the hernia can come out, the straight hernia may also appear. You can have an ultrasound done at a nearby hospital and have the surgeon check it out. Even if the hernia is confirmed to have occurred again, there is no need to worry, as synthetic patch surgery is now used for hernias. The recurrence rate is greatly reduced. To give an inappropriate example, if our pants are torn, we can continue to sew up the tear, but since the area is worn thin, even if it is barely sewn up, it will easily break again. The hernia patch is just like a “patch”. The surgery itself is not complicated and is solved within 3 or 4 days of hospitalization.