Surgical Treatment of Recurrent Inguinal Hernia: The Choice of Method

Abstract

The recurrence rate for inguinal hernia repair is up to 15%. The purpose of the work is to determine the optimal method of surgery for recurrent inguinal hernias. From 2007 to 2011, a clinical study was conducted involving 146 patients (randomized – 82, prospective – 64) with recurrent inguinal hernias, previously operated on using different methods. Less pain syndrome and fewer complications after laparoscopic interventions were noted. In total, 68 patients were operated on laparoscopically, 78 patients were operated by open method (according to Lichtenstein). The number of recurrences after laparoscopic surgery – 3, after open – 8. Conclusion: the laparoscopic method for recurrent inguinal hernias can reduce the duration of the operation, the number of complications, reduce pain after operation and reduce the number of reccurences. Key words: inguinal hernia, TAPP, Lichtenstein's operation, recurrent inguinal hernia.