Dr. Kurikala Raghu, Dr. Chalamala Shyam Sunder Reddy, Dr. Anil Mamidi


BACKGROUND : Recurrent inguinal hernias are still relatively common in our practice. Despite the introduction of
several therapeutic improvements, recurrent hernias still appear in 3-5%. Therefore the reasons and its management are
discussing in a more fundamental way. It is assuming that a failure mainly depends on the quality of the repair.
AIM: The study aimed to review and assess the management of recurrent inguinal hernia with different approaches available and to evaluate the
post-operative complications.
METHODOLOGY : The prospective study was conducted over 60 male patients with recurrent inguinal hernia. During the period of June 2017
to January 2019.
RESULTS: A total of 60 male patients underwent operation in are group 40 to 60yrs of which 35 underwent open inguinal hernioplasty. 18 were
bilateral stoppa repair and 3 underwent TEP and 4 underwent TAPP. Time taken for laparoscopic approach is greater than stoppas is greater than
open inguinal hernia. In comparing the above and the follow up patients at 3, 6, 12 months two recurrences are seen with stoppas and no
recurrences with TAPP and TEP and no recurrence with open hernioplasty. But the pain is more in open hernioplasty on compared to stoppas and
laparoscopic repair.
CONCLUSION: Laparoscopic and stoppas took more operative time and requires skill than open inguinal hernioplasty which has obscure
anatomy, but the results were good with those approaches.


Recurrent Hernia, Stoppas, TEP, TAPP, Seroma.

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