Completely laparoscopic repair for recurrent inguinal hernia that developed after open posterior mesh repair.

Asian Journal of Endoscopic Surgery
Daisuke MoriokaYoshiki Sato

Abstract

Surgeons tend to avoid performing completely laparoscopic repair (CLR) for recurrent inguinal hernia (RIH) that developed after the open posterior mesh repair (OPMR). For many, totally extraperitoneal repair or transabdominal preperitoneal repair after OPMR seems difficult because the previously placed mesh may pose an obstacle during the exfoliation of the parietal peritoneum. Moreover, these procedures could cause chronic pain if the "trapezoid of disaster" is injured. In this small case series, we describe our operative technique for CLR for RIH after OPMR, including modified transabdominal preperitoneal repair and modified intraperitoneal onlay mesh repair. The short-term and midterm outcomes of this procedure are also reported. Although we recognize the need for further analysis involving many more cases and a longer follow-up period, we will continue to perform CLR for RIH after OPMR because the results of this small case series were favorable.

References

Nov 23, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D SevoniusG Sandblom
Nov 26, 2016·The Journal of Surgical Research·Hideyuki TakataEiji Uchida
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Nov 18, 2018·Journal of Surgical Case Reports·Kazuhiko SakamotoTatsuhito Yamamoto

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