Totally extraperitoneal (TEP) hernia repair after an original TEP

Abstract

We have found that TEP repair of recurrent inguinal hernia after a primary TEP repair is entirely feasible technically as well as entirely safe.

Laparoscopic hernia repair?TAPP or/and TEP?

“…A TEP repair is also particularly difficult and complication-prone following transabdominal urinary bladder or prostate surgery, as we have to expect serious preperitoneal scarring in these cases too. In contrast, Ferzli et al [22] reported for the first time on a re-TEP repair, also describing special difficulty in the preperitoneal dissection, however.…”

Repeat Laparoscopic Totally Extraperitoneal Hernia Repair After Primary Laparoscopic Totally Extraperitoneal Hernia Repair for Inguinal Hernia

“…In these reports, several authors reported the feasibility of TAPP repair for recurrence after primary laparoscopic hernia repair by TAPP or TEP. 8 7 Twenty patients had recurrent hernia and underwent TEP. In these patients, 12 hernias were on the ipsilateral side, and 8 were on the contralateral side.…”

“…[2][3][4] Some studies reported that recurrence rates ranged from 0.3% to 8.5%, 5 and the rate of contralateral occurrence was about 1%. 6,7 As the period of postoperative surveillance is extended, it is thought that the number of patients with recurrence or with a new hernia on the contralateral side will increase.…”

Clinical usefulness of laparoscopic total extraperitoneal hernia repair for recurrent inguinal hernia

“…Scheurlein et al [12] conducted laparoscopic TEP hernia repair on 179 patients with recurrent inguinal hernia and reported a 0.4% recurrence rate. Ferzil et al [13] reported that they found no technical or safety issue in the application of the TEP approach to patients who showed recurrence after laparoscopic TEP hernia repair. Despite a smaller subject size and a follow-up period of less than five years, these authors conducted laparoscopic TEP hernia repair on 191 patients with inguinal hernia.…”