Recurrence of inguinal hernias after repair is a problem in the surgical management of this condition. The management of recurrent inguinal hernia remains an area of concern, with the choice of surgical repair dictated by the primary repair performed. The principle of management is that if an anterior approach is performed, then the recurrence is repaired with a posterior approach, and vice versa. The aim here is to repair the hernia in a clean, adhesion-free anatomical plane. A literature review was conducted using PUBMED, Cochrane database of clinical reviews, and Google Scholar, focusing on clinical trials, observational studies, cohort studies, systematic reviews, and meta-analyses from 1995 to 2025. The common approaches include the laparoscopic repairs, like the transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP). The open pre-peritoneal repair can also be performed for recurrent inguinal hernias. This review discusses the various surgical procedures that are performed for recurrent inguinal hernias and the risk factors for recurrence. The optimal management of recurrent inguinal hernias depends on the initial repair technique. For recurrences after a Lichtenstein repair, a pre-peritoneal approach (open or laparoscopic) is preferred, while recurrences after laparoscopic repair are best managed with an anterior approach. Final surgical choice should be guided by surgeon expertise and senior consultation.
Author(s) Details
Kumar H.R
School of Medicine and Health Science, Taylor's University, 47500,
Selangor, Malaysia.
Please see the book here :- https://doi.org/10.9734/bpi/msraa/v11/6299
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