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Laparoscopic transabdominal preperitoneal repair for recurrent groin hernia after failed anterior‐posterior repair
Author(s) -
Tazaki Tatsuya,
Sasaki Masaru,
Kohyama Mohei,
Sugiyama Yoichi,
Yamaguchi Takuro,
Takahashi Shinya,
Nakamitsu Atsushi
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12899
Subject(s) - medicine , groin , surgery , hernia repair , hernia , surgical mesh
The International Guidelines for Groin Hernia Management recommends an anterior repair after a failed posterior repair, and laparoscopic repair after a failed anterior tissue repair or Lichtenstein repair. However, there are not enough studies to guide decision‐making for patients with recurrent hernia patients after combined anterior‐posterior repair. We investigate the safety and usefulness of transabdominal preperitoneal repair (TAPP) for recurrent hernia patients after failed anterior‐posterior repair. Methods We conducted a retrospective analysis of 13 consecutive patients with recurrent groin hernia who underwent TAPP after prior anterior preperitoneal mesh repair (that created anterior and posterior scarring) between September 2013 and October 2018. The control group comprised 45 patients who underwent TAPP for recurrent hernia after anterior repair (43 nonmesh repairs and two Lichtenstein repairs). Results There were no intraoperative complications, and chronic pain was not reported by the patients with prior anterior preperitoneal mesh repair. The mean operative time was 113 ± 31.3 minutes, and the mean postoperative stay was 1.62 ± 0.87 days. The Wong–Baker FACES rating scale score for pain on postoperative day 1 was 1.91 ± 1.5; on postoperative day 7, the score was 1.0 ± 0.89. None of these findings was significantly different from the findings in patients who had a prior anterior repair. A single patient experienced a further recurrence and underwent repeat TAPP. Conclusions The use of TAPP after failed combined anterior‐posterior mesh repair may be feasible and safe for recurrent groin hernia. Further study is needed to determine long‐term outcomes.