Laparoscopic repair of recurrent inguinal hernias after endoscopic herniorrhaphy

Citation
Mtt. Knook et al., Laparoscopic repair of recurrent inguinal hernias after endoscopic herniorrhaphy, SURG ENDOSC, 13(11), 1999, pp. 1145-1147
Citations number
19
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
ISSN journal
09302794 → ACNP
Volume
13
Issue
11
Year of publication
1999
Pages
1145 - 1147
Database
ISI
SICI code
0930-2794(199911)13:11<1145:LRORIH>2.0.ZU;2-L
Abstract
Background: Although the recurrence rate for endoscopic herniorraphy is low (0-3%), it is still debatable whether these recurrences should be correcte d laparoscopically or by the conventional method. The aim of this study was to investigate whether these recurrences can be repaired by means of the l aparoscopic approach with acceptable complication and recurrence rates. Methods: From October 1992 to December 1997, 34 patients with recurrent ing uinal hernias at physical examination underwent surgery at our institutions . All the recurrences occurred following endoscopic inguinal hernia repair with mesh prostheses. The recurrences were repaired endoscopically using a transabdominal approach. Depending on the size of the defect, a new polypro pylene mesh was used. Results: Mean surgery time was 69 min. There were no conversions to the ant erior approach. After a mean follow-up of 35 months, no recurrences had bee n diagnosed. Conclusion: The transabdominal preperitoneal approach is a reliable techniq ue for recurrent inguinal hernia repair after previous endoscopic herniorrh aphy.