ePoster
Presentation Description
Institution: Bankstown Hospital, Sydney - NSW, Australia
Purpose:
Re-laparoscopic repair of recurrent inguinal hernia following previous laparoscopic approach can provide similar clinical outcome when completed with the appropriate level of surgical experience. Our objective was to evaluate the feasibility and safety of redo laparoscopy and document any unexpected new perioperative findings potentially overlooked during initial surgery.
Methodology:
Clinical data of all patients who underwent re-laparoscopic repair (TEP or TAPP) for post-laparoscopic inguinal hernia recurrences between October 2011 and November 2023 was retrieved from a prospectively maintained institutional database.
Results:
29 patients (4 females), mean age of 50.9 years old, were retrospectively reviewed. 33 pre-operative diagnosis of inguinal hernia recurrence were made. TAPP technique for redo was the preferred approach in 23 patients (79.3%). Inadequate mesh placement during the first repair was the main factor contributing to recurrence. No intraoperative complications were encountered with no conversions to open.
51 groin hernias were repaired (including 33 recurrent), 9 primary inguinal hernias on the contralateral side, and 9 new incidental defects found in 6 patients (3 femoral, 1 Laugier’s, 1 pre-vascular, 4 obturator hernias). 5 of them were identified on the same side of previous laparoscopic repair. 4 of those hernias were found in three female (75%) and 5 in three male patients (12%). We did not record any postoperative complications.
Conclusions:
Re-laparoscopic repair of recurrent inguinal hernia post laparoscopy is safe and allows simultaneous treatment of incidentally found new defects, including those probably overlooked during the initial procedure from suboptimal groin dissection.
Speakers
Authors
Authors
Dr Yusuf Moollan - , Dr Sarit Badiani - , Dr Kheman Rajkomar - , Dr Sergei Tsakanov - , Prof Christophe Berney -