Diagnostic Laparoscopy as Decision Tool for Re-recurrent Inguinal Hernia Treatment Following Open Anterior and Laparo-Endoscopic Posterior Repair

Frontiers in Surgery
F Köckerling, Christine Schug-Pass

Abstract

The guidelines of the international hernia societies recommend posterior repair in laparo-endoscopic technique for recurrent inguinal hernia after open anterior mesh repair and, conversely, open anterior repair for recurrence after laparo-endoscopic primary repair. Even when these guidelines are followed, already 1 year after repair a re-recurrence rate of 1-2% must be expected, with that rate rising further in the subsequent years. Accordingly, increasingly more patients with re-recurrence after anterior and posterior mesh implantation must be treated, which constitutes a problem that to date has been investigated in only very few studies. Hence, there are no well-founded recommendations. This paper now presents a number of case reports aimed at identifying the role of explorative laparoscopy as decision tool for re-recurrent inguinal hernia treatment. Based on three case reports the role of explorative laparoscopy as decision tool for re-recurrent inguinal hernia treatment is presented below. In all the three cases described explorative laparoscopy played a key role as decision tool when deciding how best to treat re-recurrence after anterior and posterior inguinal hernia repair. In one case severe adhesions after robotic pro...Continue Reading

References

Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P SimonsM Miserez
May 28, 2013·Surgical Endoscopy·M M PoelmanH J Bonjer
Mar 22, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezM P Simons
Jul 3, 2015·Frontiers in Surgery·Ferdinand KöckerlingWolfgang Reinpold

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Citations

Feb 23, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingH Riediger
Jan 6, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Joaquin Fernandez-AlbertiDaniel Enrique Pirchi

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