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Background
Failure rates for recurrent hernioplasties vary from 3% to 30%. To help explain this
high incidence of recurrence, we reviewed our 4-year experience using a laparoscopic
approach and analyzed the characteristics of the recurrent hernias repaired.
Method
One hundred fifty-two patients with 173 recurrent hernias and 942 patients with 1,230
primary hernias were laparoscopically repaired using either a transabdominal preperitoneal
or a totally extraperitoneal laparoscopic approach.
Results
With a median follow-up of 24 months, one recurrence developed in the recurrent and
four in the primary group. The incidence of bilateral disease (80% versus 46%), and
the complexity of the hernias repaired (28% versus 14%) were significantly increased
in the recurrent patients.
Conclusion
The importance of intrinsic weakness and missed hernias as factors that contribute
to the failure of recurrent hernioplasties was supported by our findings. The low
early failure rate of our laparoscopic approach suggested that this technique may
help in eliminating these causes of failure.
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Article info
Footnotes
**Presented at the 48th Annual Meeting of the Southwestern Surgical Congress, Scottsdale, Arizona, April 28–May 1, 1996.
Identification
Copyright
© 1996 Excerpta Medica, Inc. All rights reserved. Published by Elsevier Inc.
