Recurrent Inguinal Hernia After Laparoscopic Repair

Mark reiner in nyc.

Recurrent inguinal hernia after laparoscopic repair. The prosthetic mesh medial to the inferior epigastric artery had rolled away from the pubic ramus to expose hesselbach s triangle. A 74 year old physician had a large pelvic tumor removed which was non cancerous. 1 2 despite the high satisfaction rate risks are inherent to laparoscopic herniorrhaphy just as with standard open repairs. She developed a hernia 2 years after her surgery and underwent a laparoscopic incisional hernia repair at a large university hospital in southern california.

The most common causes of recurrence were recognized in the past and the necessary technical corrections were added to the best practice of laparoscopic repair. Laparoscopic inguinal hernia repair keyhole surgery laparoscopic inguinal hernia repair uses an instrument called a laparoscope. 2 the shouldice repair has been the only. Eleven patients with recurrent inguinal hernia after laparoscopic hernia repair were referred for treatment.

Laparoscopic inguinal hernia repair offers excellent results in experienced hands 8 9 15 16 the tapp and total extraperitoneal techniques are more or less standardized. Early resumption of normal activities and less postoperative pain are two of its main benefits. Between two and four small incisions are made through the abdominal wall through which are passed the laparoscope a thin telescope with a light on the end and surgical instruments into the abdomen. The incidence of recurrent hernia after primary repair of a groin hernia varies from 1 in specialized centers to 30 in general surveys.

A medial recurrence associated with a mature peritoneal sac was identified in each case. Recurrence rate after laparoscopic repair is comparable to that of open conventional techniques. The major concern after inguinal hernia repair is recurrence. All the measures to decrease the burden of recurrences should be used which can only be done by getting the knowledge of patient related risk factors along with knowledge of the controllable technical risk factors.

Reiner is able to effectively treat both recurrent. However such recurrences do occur after a laparoscopic repair with a reported rate of up to 5 1 2. During the premesh era it was estimated that primary inguinal hernia repairs had a 10 30 recurrence rate and that the rate was 35 for recurrent hernia repairs. If a hernia bulge returns to the area where it was first discovered after your hernia repair surgery you may have a recurring hernia to permanently heal your hernia schedule an appointment with dr.

With 13 of all groin hernia repairs being performed for recurrent hernias recurrence after inguinal hernia repair remains a clinical problem in present day scenario. Patient underwent a robotic assisted herni repair of recurrent right inguinal hernia with mesh. Reiner is a highly experienced hernia repair surgeon and a professor of surgery at mount sinai hospital in new york. Laparoscopic inguinal herniorrhaphy has gained wide popularity with many surgeons and patients.

This is a 52 year old male with history of right inguinal hernia repair 10 years ago who presented with a painful bulge in the right groin. Laparoscopic repair of recurrent incisional hernia in a 74 year old doctor.