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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2004

01-03-2004 | Original article

Totally extraperitoneal (TEP) hernia repair after an original TEP

Is it safe, and is it even possible?

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

Published in: Surgical Endoscopy | Issue 3/2004

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Abstract

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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Metadata
Title
Totally extraperitoneal (TEP) hernia repair after an original TEP
Is it safe, and is it even possible?
Authors
G. S. Ferzli
K. Shapiro
S. V. DeTurris
P. Sayad
S. Patel
A. Graham
G. Chaudry
Publication date
01-03-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-8211-0

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