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Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report
The Kugel procedure resulted in extensive adhesion in the preperitoneal space. Performing a transabdominal preperitoneal repair (TAPP) for recurrent hernia after Kugel procedure is extremely difficult. In this case report, we present the case of a 81-year-old male who presented with recurrent inguin...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632708/ https://www.ncbi.nlm.nih.gov/pubmed/35915518 http://dx.doi.org/10.4103/jmas.jmas_283_21 |
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author | Wang, Congfei Lin, Ronggui Lin, Xianchao Lu, Fengchun Chen, Yanchang Huang, Heguang |
author_facet | Wang, Congfei Lin, Ronggui Lin, Xianchao Lu, Fengchun Chen, Yanchang Huang, Heguang |
author_sort | Wang, Congfei |
collection | PubMed |
description | The Kugel procedure resulted in extensive adhesion in the preperitoneal space. Performing a transabdominal preperitoneal repair (TAPP) for recurrent hernia after Kugel procedure is extremely difficult. In this case report, we present the case of a 81-year-old male who presented with recurrent inguinal hernia after Kugel procedure 8 years ago. Transabdominal laparoscopy was performed first. Indirect hernia formed inferior to the lateral edge of the previous mesh was diagnosed under laparoscopy. The patient's medial umbilical ligament (MUL) was big enough and could be completely released by separating the Retzius space. Finally, TAPP was successfully performed by using the MUL to create and close the preperitoneal space. No perioperative complications or hernia recurrence was observed 1 year after the surgery. Using the MUL to deal with preperitoneal problems was practical and feasible. |
format | Online Article Text |
id | pubmed-9632708 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-96327082022-11-04 Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report Wang, Congfei Lin, Ronggui Lin, Xianchao Lu, Fengchun Chen, Yanchang Huang, Heguang J Minim Access Surg How I Do It The Kugel procedure resulted in extensive adhesion in the preperitoneal space. Performing a transabdominal preperitoneal repair (TAPP) for recurrent hernia after Kugel procedure is extremely difficult. In this case report, we present the case of a 81-year-old male who presented with recurrent inguinal hernia after Kugel procedure 8 years ago. Transabdominal laparoscopy was performed first. Indirect hernia formed inferior to the lateral edge of the previous mesh was diagnosed under laparoscopy. The patient's medial umbilical ligament (MUL) was big enough and could be completely released by separating the Retzius space. Finally, TAPP was successfully performed by using the MUL to create and close the preperitoneal space. No perioperative complications or hernia recurrence was observed 1 year after the surgery. Using the MUL to deal with preperitoneal problems was practical and feasible. Wolters Kluwer - Medknow 2022 2022-07-06 /pmc/articles/PMC9632708/ /pubmed/35915518 http://dx.doi.org/10.4103/jmas.jmas_283_21 Text en Copyright: © 2022 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | How I Do It Wang, Congfei Lin, Ronggui Lin, Xianchao Lu, Fengchun Chen, Yanchang Huang, Heguang Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report |
title | Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report |
title_full | Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report |
title_fullStr | Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report |
title_full_unstemmed | Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report |
title_short | Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report |
title_sort | transabdominal preperitoneal repair for a recurrent inguinal hernia after kugel procedure using the medial umbilical ligament: a case report |
topic | How I Do It |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632708/ https://www.ncbi.nlm.nih.gov/pubmed/35915518 http://dx.doi.org/10.4103/jmas.jmas_283_21 |
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