A Case of TAPP (Transabdominal Preperitoneal Repair) for Bilateral Inguinal Hernias After Femoral-Femoral Artery Bypass on Antiplatelet Therapy.

A 66-year-old man visited our hospital because of swelling and pain in both inguinal regions. He had previously undergone femoral-femoral artery bypass for peripheral artery disease and was taking antiplatelet medication. Abdominal surgery for patients with a history of nonanatomic bypass carries the risk of wound limitation due to artificial vessels, vascular injury, and infection. Laparoscopic hernia repair is a preperitoneal approach that is considered to be free of these risks, and intraoperative manipulation is considered to have little negative influence. In this study, we performed laparoscopic hernia repair for bilateral inguinal hernias after femoral-femoral arterial bypass on antiplatelet therapy. There were no perioperative complications, and the patient had no recurrence in 6 months.