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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (04): 385-389. doi: 10.3877/cma.j.issn.1674-392X.2023.04.004

• Complex Abdominal Wall Hernia • Previous Articles     Next Articles

Efficacy analysis of repeat transabdominal preperitoneal laparoscopic repair for recurrent inguinal hernia: A specialized single-center study

Xiaohan Wei, Zhen Ren, Chen Pan, Lisheng Wu()   

  1. Wannan Medical College, Wuhu 241002, Anhui, China
    Bengbu Medical College, Bengbu 233030, Anhui, China
    Department of Hernia and Bariatric Metabolic Surgery, the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital), Hefei 230001, China
  • Received:2023-07-15 Online:2023-08-18 Published:2023-09-01
  • Contact: Lisheng Wu

Abstract:

Objective

To investigate the safety and efficacy of repeated laparoscopic trans-abdominal preperitoneal repair (Re-TAPP) in the treatment of recurrent inguinal hernia at a specialized hernia treatment center.

Methods

We conducted a retrospective analysis of the clinical data of patients who underwent Re-TAPP treatment for recurrent inguinal hernia in The First Affiliated Hospital of University of Science and Technology of China from January 2020 to December 2022. Data including age, gender, medical history, surgical details (surgery type, duration of surgery), length of hospital stay, and postoperative complications were collected to assess the efficacy and safety of Re-TAPP for recurrent inguinal hernia.

Results

The study included 14 patients, all were male, with average age of (61±13.2) years, ranging from 26 to 78. The median time of recurrence was 24 (interquartile range, IQR=57) months, ranging from 6 to 120 months. The average duration of surgery was (153.4±80.4) minutes, and the median length of hospital stay was 4.5 (IQR=1.5) days. Postoperative complications included: one case of seroma, which was self-absorbed on follow-up examination three months after surgery; three cases of inferior epigastric arterial bleeding which were managed through the implementation of Homelock clip hemostasis during the surgical procedure. Furthermore, one case of venous corona mortis bleeding was identified, and this was successfully controlled through the utilization of Prolene suture hemostasis during surgery. During the follow-up period, no patients were observed to have recurrence after surgery.

Conclusion

The recurrent inguinal hernia after previous TAPP repair can be effectively and safely treated with Re-TAPP surgery in a specialized hernia center.

Key words: Laparoscopic, Hernia, inguinal, Recurrence, Herniorrhaphy

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