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

被引：25

作者：

Ferzli, GS ^{[1
]}

Shapiro, K ^{[1
]}

DeTurris, SV ^{[1
]}

Sayad, P ^{[1
]}

Patel, S ^{[1
]}

Graham, A ^{[1
]}

Chaudry, G ^{[1
]}

机构：

[1] Staten Isl Univ Hosp, Dept Surg, Staten Isl, NY 10304 USA

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2004年 / 18卷 / 03期

关键词：

D O I：

10.1007/s00464-003-8211-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：526 / 528

页数：3

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