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 2nd 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.
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