Treatment of recurrent inguinal hernia after TransInguinal PrePeritoneal (TIPP) surgery: feasibility and outcomes in a case series

Hernia ◽  
2021 ◽  
Author(s):  
L. van Silfhout ◽  
L. van Hout ◽  
M. Jolles ◽  
H. P. Theeuwes ◽  
W. J. V. Bökkerink ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Case Series ◽  
Recurrent Inguinal Hernia

scholarly journals The TREPP as alternative technique for recurrent inguinal hernia after Lichtenstein's repair: A consecutive case series

2017 ◽  
Vol 40 ◽  
pp. 73-77 ◽  
Author(s):  
W.J.V. (Willem) Bökkerink ◽  
A.M. (Alexandra) Persoon ◽  
W.L. (Willem) Akkersdijk ◽  
C.J.H.M. (Kees) van Laarhoven ◽  
G.G. (Giel) Koning
Keyword(s):  
Inguinal Hernia ◽  
Case Series ◽  
Recurrent Inguinal Hernia ◽  
Alternative Technique ◽  
Consecutive Case

Migration of a mesh into the colon after inguinal hernia repair – a case report

2021 ◽  
Vol 100 (7) ◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Sigmoid Colon ◽  
Case Series ◽  
Recurrent Inguinal Hernia ◽  
Abdominal Viscus ◽  
Mesh Migration ◽  
Endoscopic Techniques

Introduction: Mesh migration is one of the least common complications that arise after inguinal hernia repair with a mesh. Only small case series have been reported, and an understanding of this issue is limited due to a lack of data. Most of the cases were treated surgically. In this paper, we wish to present the potential of treating this condition using endoscopic techniques. Case report: A male patient underwent transabdominal preperitoneal repair of a primary inguinal hernia in 1999. In 2003, the patient required the same procedure for a recurrent inguinal hernia. Twenty years after the primary hernia repair, the patient had a positive faecal occult blood test but was completely asymptomatic. A colonoscopy revealed mesh migration into the sigmoid colon. Despite multiple attempts to remove the mesh endoscopically, endoscopic treatment was unsuccessful. The migrated mesh was surgically removed and obligatory resection of the sigmoid colon was carried out. Apart from wound infection (Clavien-Dindo IIIb), the postoperative course was uneventful. Conclusion: In our case, the mesh that had penetrated the colon could not be removed endoscopically. Despite our experience, it is advisable to attempt endoscopic removal of mesh that has migrated into a hollow intra-abdominal viscus.

scholarly journals Case series of recurrent inguinal hernia after primary TREPP repair: re-TREPP seems feasible and safe

2018 ◽  
Vol 51 ◽  
pp. 292-295 ◽  
Author(s):  
A.M. Persoon ◽  
W.J.V. Bökkerink ◽  
W.L. Akkersdijk ◽  
C.J.H.M. van Laarhoven ◽  
G.G. Koning
Keyword(s):  
Inguinal Hernia ◽  
Case Series ◽  
Recurrent Inguinal Hernia

Postoperative Comfort after Plug-and-Patch Repair of Recurrent Inguinal Hernia

2002 ◽  
Vol 168 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Jürgen Zieren ◽  
Heiko Neuss ◽  
Andrew W. Philipp ◽  
Jochen M. Müller
Keyword(s):  
Inguinal Hernia ◽  
Patch Repair ◽  
Recurrent Inguinal Hernia

Recurrence mechanisms after inguinal hernia repair by the Onstep technique: a case series

Hernia ◽  
2016 ◽  
Vol 20 (5) ◽  
pp. 681-685 ◽  
Author(s):  
S. Öberg ◽  
K. Andresen ◽  
D. Hauge ◽  
J. Rosenberg
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Case Series

scholarly journals P154 DOES A PENO-SCROTAL APPROACH FOR PENILE PROSTHESIS IMPLANTATION INCREASE THE INCIDENCE OF INGUINAL HERNIAS POSTOPERATIVELY?

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Shadi Al-Bahri ◽  
Hazem Taifour
Keyword(s):  
Risk Factors ◽  
Inguinal Hernia ◽  
Case Series ◽  
Penile Prosthesis ◽  
Signs And Symptoms ◽  
General Surgeon ◽  
Direct Inguinal Hernia ◽  
Prosthesis Implantation ◽  
Radiologic Imaging ◽  
History Of

Abstract Aim The incidence of direct inguinal hernia and reservoir migration post-penile prosthesis implantation is extremely rare. We present a case series of patients presenting with direct inguinal hernia following three-piece penile prosthesis implantation. Material and Methods Three patients presented with direct inguinal hernia shortly following penile prosthesis implantation for treatment of refractory erectile dysfunction due to venous leak that was confirmed on ultrasound imaging. All patients underwent standard open Lichtenstein tension free repair. Results All patients underwent penile prosthesis Implantation through a peno-scrotal approach in which the reservoir was placed in the space of Retzius. The first patient had reservoir displacement one day post-operatively presenting as an inguinal bulge and discomfort, and repaired the same day. The other two patients presented with symptoms of inguinal swelling and pain at 40 days and 8 months respectively. None of our patients had signs and symptoms of intestinal obstruction. Identifiable risk factors included high BMI and a history of smoking, however dissection and placement of the reservoir may play a role in weakening the floor of the inguinal canal. Conclusions Despite the rare incidence of inguinal hernia post-penile prosthesis implantation, identification of patients with risk factors for inguinal hernia development should be done preoperatively. This may be evaluated through preoperative radiologic imaging with an abdominal wall ultrasound or clinical examination by a general surgeon.

scholarly journals P004 TREATMENT OF RECURRENT INGUINAL HERNIA AFTER TRANSINGUINAL PREPERITONEAL (TIPP) SURGERY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Lysanne van Silfhout ◽  
Ludo van Hout ◽  
Myrthe Jolles ◽  
Hilco P. Theeuwes ◽  
Willem J.V. Bökkerink ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Surgical Outcomes ◽  
Medical Records ◽  
Surgical Techniques ◽  
Recurrent Inguinal Hernia ◽  
Hernia Surgery ◽  
Exclusion Criteria ◽  
Inguinal Hernia Surgery ◽  
Mean Time

Abstract Aim To report feasibility and surgical outcomes of recurrent inguinal hernia repair after TransInguinal PrePeritoneal (TIPP) repair. Material and Methods Patients who underwent recurrent IHR after TIPP between January 2013 and January 2015 in a single hernia-dedicated teaching hospital were included. Exclusion criteria were femoral hernia, incarcerated hernia and reasons for unreliable follow-up. Electronic medical records were assessed retrospectively to register surgical outcomes and complications. Results Thirty-three patients underwent surgical repair of recurrent inguinal hernia after TIPP. Twenty patients were treated with a “re-TIPP when possible” strategy; resulting in 13 successful re-tipps and 7 conversions to Lichtenstein repair. Eleven patients underwent primarily a Lichtenstein’s repair, the remaining two patients underwent recurrent IHR using other techniques (transrectus sheath Pre-Peritoneal and transabdominal preperitoneal repair). Mean time of surgery was 44.7 minutes (standard deviation 16.7). There was one patient (3.0%) with a re-recurrent inguinal hernia during follow-up. Other minor complications included urinary tract infection. There were no significant differences in post-operative results between the different surgical techniques used for recurrent IHR. Conclusions These results indicate that after TIPP it is feasible and safe to perform re-surgery for recurrence with an anterior approach again. For these recurrences, a Lichtenstein can be performed, or a ‘re-TIPP if possible’ strategy can be applied by experienced TIPP surgeons. Whether a re-TIPP has the same advantages over Lichtenstein as is for primary inguinal hernia surgery, needs to be evaluated in a prospective manner.

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