Management of recurrent inguinal hernia after previous mesh repair: a challenge

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
R SchwabV Schumpelick

Abstract

Since the use of prosthetic mesh for the surgical repair of inguinal hernias has become increasingly popular, mesh material introduced during a previous operation is being detected in a growing number of patients undergoing surgery for recurrent hernia. This applies to at least 10% of recurrences. Needed is a therapeutic algorithm for the surgical management of recurrent hernias after previous mesh repair. A total of 672 recurrent hernia repairs performed in hospitals in the German cities Aachen and Koblenz were analysed in order to review clinical practice. In 92 patients (13.7%) who underwent surgery for recurrent hernia, mesh had been used in the previous hernia repairs. Attention was focused on the location of the recurrence in relation to the site of mesh implantation and on the advantages and disadvantages of the various surgical procedures for repairing recurrent hernias. Re-examination was performed with a mean follow-up of 3 years. Surgeons mostly decided during operation which procedure to use. A transinguinal approach was preferred for patients presenting with recurrent hernia and pain, and mesh material introduced during a previous operation was then explanted. In the case of multiple recurrences, a minimal direct s...Continue Reading

References

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Citations

Jan 26, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R SchwabV Schumpelick
Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M Shamim
Jul 9, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G AmatoR Bussani
Oct 22, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G AmatoM Romano
Feb 3, 2016·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Inga BernemannThomas Illig

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