Comparison of traditional and laparoscopic procedures for recurrent inguinal hernia after laparoscopic repair

Objective. Perform a comparative analysis of traditional and laparoscopic hernia repair for recurrent hernia after laparoscopic approach. Material and methods. We have analyzed the results of 137 cases of recurrent inguinal hernias after laparoscopic hernioplasty (64 patients underwent re-TAPP: 35 (54.7%) — standard hernioplasty, 29 (45.3%) patients — with our own modification; 73 patients underwent standard Lichtenstein procedure. Results. The average time spent on the Liechtenstein procedure after primary TAPP was 48.4±3.9, which was significantly less than with Re-TAPP — 67±4.1, respectively (Kruskal Wallis test (χ2=115, df=3, p<0.001)). There were no significant intraoperative and postoperative complications in the groups. The pain index in patients operated on according to the Lichtenstein method was somewhat higher and averaged 4.5 points on the LAS scale in the range of 1—2 days and 2.1 in the range of 3—6 days; in patients after Re-TAPP 3.1 points on days 1—2 and 1.3 on days 3—6 (Mann—Whitney test U=254, p<0.0001). Conclusion. The laparoscopic technique for recurrent inguinal hernia (after prior TAPP) is effective, but its implementation is possible only in hospitals with extensive experience in minor invasive inguinal hernioplasty. © 2024, Media Sphera Publishing Group. All rights reserved.