Laparoscopic repair of recurrent hernia

American Journal of Surgery
E L FelixM H Gonzalez

Abstract

Failure rates for recurrent hernioplasties vary from 3% to 30%. To help explain this high incidence of recurrence, we reviewed our 4-year experience using a laparoscopic approach and analyzed the characteristics of the recurrent hernias repaired. One hundred fifty-two patients with 173 recurrent hernias and 942 patients with 1,230 primary hernias were laparoscopically repaired using either a transabdominal preperitoneal or a totally extraperitoneal laparoscopic approach. With a median follow-up of 24 months, one recurrence developed in the recurrent and four in the primary group. The incidence of bilateral disease (80% versus 46%), and the complexity of the hernias repaired (28% versus 14%) were significantly increased in the recurrent patients. The importance of intrinsic weakness and missed hernias as factors that contribute to the failure of recurrent hernioplasties was supported by our findings. The low early failure rate of our laparoscopic approach suggested that this technique may help in eliminating these causes of failure.

References

May 1, 1975·Archives of Surgery·R C Read
Sep 1, 1991·Archives of Surgery·J N IjzermansH Jeekel
Jul 1, 1990·American Journal of Surgery
Sep 1, 1989·World Journal of Surgery·R E Stoppa
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Mar 1, 1988·The British Journal of Surgery·A J Marsden
Jan 24, 1970·British Medical Journal·F Glassow
Jan 1, 1995·Surgical Endoscopy·E H PhillipsB McKernan

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Citations

Jul 10, 2001·Surgical Endoscopy·E L Felix
May 11, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·P Sayad, G Ferzli
Oct 27, 2009·Journal of the American College of Surgeons·Kamal M F ItaniGeorge S Ferzli
Mar 4, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A ForteV Beltrami

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