Journal of Minimal Access Surgery

[View FULLTEXT] [Download PDF]
Year : 2006  |  Volume : 2  |  Issue : 3  |  Page : 187--191

Causes of recurrence in laparoscopic inguinal hernia repair

Jan F Kukleta 
 Klinik Im Park, Zurich, Switzerland

Correspondence Address:
Jan F Kukleta
Klinik Im Park, Zurich

Aim: The analysis of possible mechanisms of repair failure is a necessary instrument and the best way to decrease the recurrence rate and improve the overall results. Avoiding historical errors and learning from the reported pitfalls and mistakes helps to standardize the relatively new laparoscopic techniques of trans-abdominal preperitoneal and total extraperitoneal. Materials and Methods: The video tapes of all primary laparoscopic repairs done by the author that led to recurrence were retrospectively analyzed and compared with findings at the second laparoscopic repair. A review of the available cases of recurrences occurring between 1994 and 2003 is the basis of this report. Summary: Adequate mesh size, porosity of mesh material, slitting of the mesh, correct and generous dissection of preperitoneal space and wrinkle-free placement of the mesh seem to be the more important factors in avoiding recurrence rather than strength of the material or strong penetrating fixation. Special attention should be paid to preperitoneal lipoma as a possible overlooked herniation or potential future pseudorecurrence despite nondislocated correctly positioned mesh. Conclusion: Laparoscopic hernia repair is a complex but very efficient method in experienced hands. To achieve the best possible results, it requires an acceptance of a longer learning curve, structured well-mentored training and high level of standardization of the operative procedure.

How to cite this article:
Kukleta JF. Causes of recurrence in laparoscopic inguinal hernia repair.J Min Access Surg 2006;2:187-191

How to cite this URL:
Kukleta JF. Causes of recurrence in laparoscopic inguinal hernia repair. J Min Access Surg [serial online] 2006 [cited 2021 Sep 28 ];2:187-191
Available from:;year=2006;volume=2;issue=3;spage=187;epage=191;aulast=Kukleta;type=0