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Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report


 Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China

Correspondence Address:
Heguang Huang,
Department of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou 350001, Fujian Province
China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_283_21

PMID: 35915518

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.


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    -  Wang C
    -  Lin R
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04