Totally extraperitoneal (TEP) hernia repair after an original TEP: Is it safe, and is it even possible?

G. S. Ferzli, K. Shapiro, S. V. DeTurris, P. Sayad, S. Patel, A. Graham, G. Chaudry

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)526-528
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number3
StatePublished - Mar 2004
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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