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A simplified surgical technique for recurrent inguinal hernia repair following total extraperitoneal patch plastic

Authors:	P Knyazeva P F Alesina P Stadelmeier M Anaya-Cortez M K Walz

Institution:	1.Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte,Akademisches Lehrkrankenhaus der Universit?t Duisburg-Essen,Essen,Germany

Abstract:	Purpose To present a new and alternative method for surgical treatment of recurrent inguinal hernia after total extraperitoneal patch plastic (TEP). Methods From January 2005 to September 2015, 35 patients (34 male, 1 female; mean age 65 ± 12.6 years) with recurrent inguinal hernia following TEP were operated at the Kliniken Essen-Mitte using a simplified method consisting of re-fixation of the primary mesh to the inguinal ligament by an anterior approach. Results The mean operating time was 47 ± 22 min. All complications were minor with an overall incidence of 6%. After a mean follow-up of 54 months one re-recurrence was observed. Conclusions This Simplified Hernia Repair is safe and avoids additional foreign body implantation. Therefore, it is our method of choice for recurrent inguinal hernias after TEP.

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