Two cases of early recurrence after transabdominal preperitoneal inguinal hernia repair

被引：3

作者：

Yaguchi, Yoshihisa ^{[1
]}

Inaba, Tsuyoshi ^{[1
]}

Kumata, Yoshimasa ^{[1
]}

Horikawa, Masahiro ^{[1
]}

Kiyokawa, Takashi ^{[1
]}

Fukushima, Ryoji ^{[1
]}

机构：

[1] Teikyo Univ, Sch Med, Dept Surg, Tokyo, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2018年 / 11卷 / 01期

基金：

日本学术振兴会;

关键词：

Inguinal hernia; recurrence; TAPP;

D O I：

10.1111/ases.12408

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We performed transabdominal preperitoneal inguinal hernia repair in 46 patients (58 diseases), two of whom experienced early recurrence after mesh repair. Case 1 was a 76-year-old man with a bilateral inguinal hernia (recurrence site, left indirect hernia) after appendectomy. The recurrence occurred 1month after transabdominal preperitoneal inguinal hernia repair. The mesh was dislocated to the lateral side, and we repaired it using the direct Kugel (R) patch with an anterior technique. Case 2 was a 79-year-old man with a bilateral inguinal hernia (recurrence site, right direct hernia with an orifice >3 cm) after appendectomy. The recurrence occurred 3 months after transabdominal preperitoneal inguinal hernia repair. The mesh was dislocated to the lateral side, and we repaired it using an ULTRAPRO (R) Plug with an anterior technique under laparoscopic observation. We believe the recurrences resulted from insufficient internal exfoliation and fixation affected by complicated exfoliation of the preperitoneal space with omental adhesion after intraperitoneal surgery.

引用

页码：71 / 74

页数：4

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