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Open preperitoneal mesh repair of recurrent inguinal hernia
1Department of General Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. kkatry@hotmail.com
Purpose:
To determine the outcome of open preperitoneal mesh repair of recurrent inguinal hernia.
Methods:
A prospective study included 45 consecutive male patients with unilateral recurrent inguinal hernias which were repaired using a polypropylene mesh (15 × 15 cm) placed in the preperitoneal space and anchored by several sutures.
Results:
All postoperative complications were minor. There were two superficial wound infections, one seroma, two hematomas, and two cases of urine retention. Follow-up was completed for all patients for a mean of 31.3 ± 10.8 months. No recurrences were found. One patient developed hydrocele of the distal hernial sac. None of the patients developed testicular atrophy, vaginal hydrocele, or chronic residual neuralgia.
Conclusion:
Open preperitoneal mesh repair for recurrent inguinal hernia has a low complication rate and is highly effective in preventing re-recurrence. It is easy to learn and should be the general surgeons' procedure of choice for recurrent inguinal hernia repair.
