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Published on: September 11, 2021
Laparoscopic repair of recurrent hernia
E L Felix1, C A Michas, M H Gonzalez
1Center for Hernia Repair, Fresno, California 93710, USA.
American Journal of Surgery
|November 1, 1996
Summary
Laparoscopic repair of recurrent hernias shows low recurrence rates. This approach may reduce failures caused by intrinsic weakness and missed hernias in recurrent cases.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Recurrent hernioplasties have high failure rates (3-30%).
- Understanding recurrence factors is crucial for improving outcomes.
- This study analyzes a 4-year laparoscopic experience with recurrent hernias.
Purpose of the Study:
- To analyze the characteristics of recurrent hernias.
- To evaluate the efficacy of laparoscopic repair for recurrent hernias.
- To identify factors contributing to recurrent hernia failure.
Main Methods:
- Laparoscopic repair of 173 recurrent and 1,230 primary hernias.
- Utilized transabdominal preperitoneal (TAPP) or totally extraperitoneal (TEP) approaches.
- Median follow-up of 24 months.
Main Results:
- Low recurrence rate: 1 in recurrent group, 4 in primary group.
- Recurrent hernias showed higher incidence of bilateral disease (80% vs 46%).
- Recurrent hernias were more complex (28% vs 14%).
Conclusions:
- Intrinsic weakness and missed hernias contribute to recurrent hernioplasty failure.
- Laparoscopic repair demonstrates a low early failure rate.
- Laparoscopic techniques may mitigate causes of recurrent hernia failure.
