Laparoscopic treatment of recurrent inguinal hernia after onlay mesh.

The recurrences of inguinal hernia after onlay mesh may cause technical dif ficulties for a new repair. The aim of our study was to assess intraoperati ve findings, feasibility and results of laparoscopic transpreperitoneal mes h onlay in this indication. Twenty-one repairs were performed. In all cases , direct, internal, inguinal recurrences were observed, associated in two c ases with an external or femoral recurrence. In 16 cases, there were no adh esions in the peritoneal cavity. The were no conversions and peritonealisat ion was always completed. The mean length of hospitalization was 2.7 days. Our study suggests that technical errors during the first procedure, insuff icient mesh or wrongly positioned are responsible for recurrence and allow reinsertion of a mesh laparoscopy via transpreperitoneal in this indication .