Reasons for early recurrence following laparoscopic hernioplasty

E. H. Phillips, R. Rosenthal, M. Fallas, B. Carroll, M. Arregui, J. Corbitt, Robert Joseph Fitzgibbons, A. Seid, L. Schultz, F. Toy, R. Wadell, B. McKernan

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Abstract

The incidence and reasons for early recurrences following laparoscopic hernioplasty have not been studied. Because the incidence is small and the follow up is short, a multi-institutional study was performed among the pioneers in the field. The incidence figures were obtained by survey of surgeons who had significant experience (over 100 cases) and kept concurrent records. Fifty-four recurrences (1.7%) occurred after 3229 laparoscopic hernia repairs. There were 1944 transabdominal preperitoneal (TAPP) repairs with 19 recurrences (1%) and 578 preperitoneal repairs with no recurrences. There were 345 onlay mesh (IPOM) repairs with seven recurrences (2%), and 286 plug and patch repairs with 26 recurrences (9%). Simple closures were performed 76 times with two recurrences (2.6%). Fifty-seven patients (three cases were referred to the author without incidence data but complete records for analysis) had 60 recurrent hernias. Recurrences were noted, on average, 5.1 months postoperatively (range 0-30 months). The most common reason for recurrence was that the mesh was too small - 36 (60%). The mesh was never stapled in 19 instances (32%), and the hernia was never repaired in three cases (20%). The clips pulled through the tissue in six cases (8%), and in 10 cases (15%) the repair has not yet been undertaken because the etiology was unclear. There was more than one reason in 19 patients. Technical factors were responsible for nearly all recurrences.

Original languageEnglish
Pages (from-to)140-145
Number of pages6
JournalSurgical Endoscopy
Volume9
Issue number2
DOIs
StatePublished - Feb 1995

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Herniorrhaphy
Recurrence
Incidence
Hernia
Inlays
Surgical Instruments

All Science Journal Classification (ASJC) codes

  • Surgery

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Phillips, E. H., Rosenthal, R., Fallas, M., Carroll, B., Arregui, M., Corbitt, J., ... McKernan, B. (1995). Reasons for early recurrence following laparoscopic hernioplasty. Surgical Endoscopy, 9(2), 140-145. https://doi.org/10.1007/BF00191954

Reasons for early recurrence following laparoscopic hernioplasty. / Phillips, E. H.; Rosenthal, R.; Fallas, M.; Carroll, B.; Arregui, M.; Corbitt, J.; Fitzgibbons, Robert Joseph; Seid, A.; Schultz, L.; Toy, F.; Wadell, R.; McKernan, B.

In: Surgical Endoscopy, Vol. 9, No. 2, 02.1995, p. 140-145.

Research output: Contribution to journalArticle

Phillips, EH, Rosenthal, R, Fallas, M, Carroll, B, Arregui, M, Corbitt, J, Fitzgibbons, RJ, Seid, A, Schultz, L, Toy, F, Wadell, R & McKernan, B 1995, 'Reasons for early recurrence following laparoscopic hernioplasty', Surgical Endoscopy, vol. 9, no. 2, pp. 140-145. https://doi.org/10.1007/BF00191954
Phillips EH, Rosenthal R, Fallas M, Carroll B, Arregui M, Corbitt J et al. Reasons for early recurrence following laparoscopic hernioplasty. Surgical Endoscopy. 1995 Feb;9(2):140-145. https://doi.org/10.1007/BF00191954
Phillips, E. H. ; Rosenthal, R. ; Fallas, M. ; Carroll, B. ; Arregui, M. ; Corbitt, J. ; Fitzgibbons, Robert Joseph ; Seid, A. ; Schultz, L. ; Toy, F. ; Wadell, R. ; McKernan, B. / Reasons for early recurrence following laparoscopic hernioplasty. In: Surgical Endoscopy. 1995 ; Vol. 9, No. 2. pp. 140-145.
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