News Feed Discussions Inguinal hernia recurrence Inguinal hernia recurrence

  • drtowfigh

    August 29, 2015 at 4:53 pm

    Inguinal hernia recurrence

    Definitely would use mesh for a recurrence. That is pretty much the gold standard.

    When repairing a hernia in open fashion after a recurrence from a laparoscopic repair, you are basically performing an anterior repair after failure of a posterior repair. That is the standard approach and what is recommended for most patients. Therefore, an open anterior mesh repair should be chosen. Mesh repairs with the plug and patch or the Prolene Hernia System involve a posterior dissection as part of the anterior approach and that can be tricky. I would not recommend complicating the situation in that manner. A simple anterior onlay mesh repair (à la Lichtenstein technique) is probably your best and safest bet.

    Once again, it is your surgeon’s discretion. A lot of the decision making is based on the type of recurrence, what is happening with the laparoscopic mesh, what your body habitus is and other risk factors.

    Check the AHS website for surgeons skilled in revisional surgery in Arkansas and nearby. There are plenty that you can tap into I’m sure. Tennessee is a great next door state for hernia specialists.