Abstract:

Objective

To investigate the experience and clinical effect of laparoscopic surgery for recurrent inguinal hernia.

Methods

The clinical and postoperative follow-up data of patients with recurrent inguinal hernia admitted and operated in Lyu'an People's Hospital from October 2022 to September 2023 were selected. The clinical data of 30 patients who underwent laparoscopic trans-abdominal preperitoneal hernia repair (TAPP) were screened. The clinical and follow-up data were recorded, including basic information such as name, gender, BMI; the clinical data such as the interval between two operations,surgical method, type of recurrent hernia, surgical bleeding, and follow-up data including postoperative pain, etc.

Results

All 30 patients were successfully operated and effectively followed up without recurrence. One of them was operated by combined open hybridization method. There were 12 cases of early postoperative pain after reoperation, 1 case of long-term chronic pain, 3 cases of seroma and 1 case of hematoma.

Conclusion

For recurrent inguinal hernia, the TAPP procedure can effectively avoid the unclear adhesion in the anatomical area caused by previous surgical approaches. At the same time, the analysis of the cause of recurrence is more intuitive through laparoscopic exploration, and the mesh can cover the myopectineal orifice to a greater extent, which also has a good clinical effect on the postoperative pain and other aspects.

Key words: Hernia, inguinal, Recurrence, Laparoscopes, Chronic pain