TY - JOUR
T1 - Totally extraperitoneal (TEP) hernia repair after an original TEP
T2 - Is it safe, and is it even possible?
AU - Ferzli, G. S.
AU - Shapiro, K.
AU - DeTurris, S. V.
AU - Sayad, P.
AU - Patel, S.
AU - Graham, A.
AU - Chaudry, G.
PY - 2004/3
Y1 - 2004/3
N2 - Background: There are only scant published reports of totally extraperitoneal (TEP) repair of recurrence after a primary TEP procedure. Furthermore, at least two authors have made the statement that such an operation is virtually impossible. Methods: We have been performing TEP repair of recurrence after TEP since we 1996, and here we present a retrospective review of our experience with the procedure. We employ a method not varying greatly from the standard TEP done for primary hernia. Results: All cases were started laparoscopically, and only one of 20 had to be converted to open. Of these cases, 12 were for same-side recurrence and eight for a contralateral new hernia. With a follow-up of 28-74 months, there have been no fatalities, no complications, and no re-recurrence. Conclusion: We have found that TEP repair of recurrent inguinal hernia after a primary TEP repair is entirely feasible technically as well as entirely safe.
AB - Background: There are only scant published reports of totally extraperitoneal (TEP) repair of recurrence after a primary TEP procedure. Furthermore, at least two authors have made the statement that such an operation is virtually impossible. Methods: We have been performing TEP repair of recurrence after TEP since we 1996, and here we present a retrospective review of our experience with the procedure. We employ a method not varying greatly from the standard TEP done for primary hernia. Results: All cases were started laparoscopically, and only one of 20 had to be converted to open. Of these cases, 12 were for same-side recurrence and eight for a contralateral new hernia. With a follow-up of 28-74 months, there have been no fatalities, no complications, and no re-recurrence. Conclusion: We have found that TEP repair of recurrent inguinal hernia after a primary TEP repair is entirely feasible technically as well as entirely safe.
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U2 - 10.1007/s00464-003-8211-0
DO - 10.1007/s00464-003-8211-0
M3 - Review article
C2 - 14752649
AN - SCOPUS:1942454306
SN - 0930-2794
VL - 18
SP - 526
EP - 528
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 3
ER -