Groin Hernia Recurrence After Tapp for Recurrent Hernia

Abstract Aim The aim of this study was to investigate our long-term results following TAPP (transabdominal preperitoneal repair) surgery for recurrent groin hernias, following open Lichtenstein surgery. In our institution, TAPP is used to treat recurrent groin hernias. There are many types of meshes and fixation methods that surgeons use to perform TAPP repair (self-fixing mesh, lightweight mesh with tackers, or glue fixation). Methods A retrospective analysis of our database system was performed. A total of 40 patients with recurrent, unilateral hernias were treated with TAPP surgery. The median follow-up period was 6 years (4–9 years). Following hernia repair, all patients were interviewed by telephone, and the standard questionnaire was used to assess the quality of their lives. A CT scan and clinical examination were performed if there was any doubt. Results Out of 40 patients, 39 responded (97,5%). There were 35 male and 4 female patients. We identified and confirmed 3 recurrences (7,7%). There were no recurrences in the group with self-fixating mesh (0/21), 2 recurrences in the group with lightweight mesh + tacker (2/7), and 1 recurrence in the group with lightweight mesh + glue (1/11). Conclusions Long-term analysis showed a high rate of recurrence, but other authors have reported similar results. Our findings suggest that the most effective technique for repairing recurrent groin hernia in TAPP procedures is through the use of self-fixating mesh.