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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=629;epage=631;aulast=Wang |
| _version_ | 1811240713668526080 |
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| author | Congfei Wang Ronggui Lin Xianchao Lin Fengchun Lu Yanchang Chen Heguang Huang |
| author_facet | Congfei Wang Ronggui Lin Xianchao Lin Fengchun Lu Yanchang Chen Heguang Huang |
| author_sort | Congfei Wang |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-12T13:25:08Z |
| format | Article |
| id | doaj.art-6a0b5755bb3a488faeb88e020d011b6e |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-12T13:25:08Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-6a0b5755bb3a488faeb88e020d011b6e2022-12-22T03:31:22ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212022-01-0118462963110.4103/jmas.jmas_283_21Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case reportCongfei WangRonggui LinXianchao LinFengchun LuYanchang ChenHeguang HuangThe 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=629;epage=631;aulast=Wangkugel proceduremedial umbilical ligamentrecurrent inguinal herniatransabdominal preperitoneal repair |
| spellingShingle | Congfei Wang Ronggui Lin Xianchao Lin Fengchun Lu Yanchang Chen Heguang Huang Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report Journal of Minimal Access Surgery kugel procedure medial umbilical ligament recurrent inguinal hernia transabdominal preperitoneal repair |
| 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 | kugel procedure medial umbilical ligament recurrent inguinal hernia transabdominal preperitoneal repair |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=629;epage=631;aulast=Wang |
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