LAPAROSCOPIC REDO BILATERAL TAPP MESH REPAIR FOLLOWING FAILED BILATERAL LAPAROSCOPIC TEP MESH REPAIR

Laparoscopic Redo Inguinal hernia repairs are fraught with challenges as the usual preperitoneal space is violated because of previous surgery and the mesh.Open inguinal hernioplasty is the standard approach for recurrent hernia following previous laparoscopic approach.There is a high risk of injury to urinary bladder and neurovascular structures in a redo laparoscopic preperitoneal approach.

60 year old male, s/p laparoscopic bilateral TEP mesh repair for bilateral inguinal hernia 7 years back presented to our hospital with swelling in the both groins since 1 year associated with occasional pain. On evaluation with USG abdomen, he was found to have bilateral recurrent inguinal hernias. We performed Laparoscopic bilateral TAPP mesh repair in a previously done laparoscopic bilateral TEP mesh repair.

The patient was discharged on 2^nd day.At 1year follow up the patient doesn’t have recurrence of hernia.

Conclusion:

Laparoscopic redo TAPP inguinal hernia repair after failed TEP can be performed; however, it should only be attempted by experts in laparoscopic inguinal hernia repair.