Extended totally extraperitoneal hernioplasty in patient with recurrent inguinal hernia and previous abdominal surgery (case report)
https://doi.org/10.18705/3034-7270-2025-1-3-29-35
EDN: JZGQZA
Abstract
Inguinal hernias are one of the most common surgical pathologies requiring operative intervention. One of the most crucial aspects is the choice of surgical technique, especially for patients with a history of multiple abdominal surgeries. The authors present a clinical case of a recurrent inguinal hernia in a patient with a history of multiple open abdominal surgeries. The patient had previously undergone Lichtenstein hernia repair, laparotomy for fecal peritonitis, scheduled abdominal lavages, resection of the colon with ileostomy formation. The patient underwent extended totally extraperitoneal (e-TEP) repair. The authors suggest that extended totally extraperitoneal repair (e-TEP) may be recommended for patients with inguinal hernias who have a history of anterior inguinal canal repair and/or open abdominal surgeries.
Keywords
recurrent inguinal hernia,
extended totally extraperitoneal hernioplasty,
е-TEP,
previous abdominal surgery
Supporting agencies: This study was not supported by any external sources of funding
About the Authors
E. E. Tarasov
Ural State Medical University, Ministry of Healthcare of the Russian Federation; City Clinical Hospital No. 40
Russian Federation
Russian Federation
Tarasov Evgenii E. – Candidate of Medical Sciences, Head of Surgical Department No. 9, Ural SMU, Ministry of Healthcare of the Russian Federation; City Clinical Hospital No. 40.
Yekaterinburg
E. V. Nishnevich
Ural State Medical University, Ministry of Healthcare of the Russian Federation; City Clinical Hospital No. 40
Russian Federation
Russian Federation
Nishnevich Evgenii V. – Doctor of Medical Sciences, Head of Surgery Department, Ural SMU, Ministry of Healthcare of the Russian Federation; City Clinical Hospital No. 40.
Yekaterinburg
V. A. Bagin
Ural State Medical University, Ministry of Healthcare of the Russian Federation; City Clinical Hospital No. 40
Russian Federation
Russian Federation
Bagin Vladimir A. – Candidate of Medical Sciences, Head of Anesthesiology and Intensive Care Department, Ural SMU, Ministry of Healthcare of the Russian Federation; City Clinical Hospital No. 40.
Yekaterinburg
I. A. Korishch
City Clinical Hospital No. 40
Russian Federation
Russian Federation
Korishch Yana A. – Surgeon of the Surgical Department No. 9.
Yekaterinburg
P. L. Burceva
Ural State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Burtseva Polina L. – Student.
Yekaterinburg
M. I. Prudkov
Ural Institute of Health Management named A.B. Blokhin
Russian Federation
Russian Federation
Prudkov Mikhail I. – Doctor of Medical Sciences, Professor.
Yekaterinburg
References
1. Abebe M.S., Tareke A.A., Alem A. et al. Worldwide magnitude of inguinal hernia: Systematic review and meta-analysis of population-based studies. SAGE Open Med. 2022;10:20503121221139150. DOI: 10.1177/20503121221139150.
2. Sun L., Shen Y.M., Chen J. Laparoscopic versus Lichtenstein hernioplasty for inguinal hernias: a systematic review and Meta-analysis of randomized controlled trials. Minim Invasive Ther Allied Technol. 2020;29(1):20–27. DOI: 10.1080/13645706.2019.1569534.
3. Romero-Silva M.A., Caballero-Alvarado J., Zavaleta-Corvera C. Efficacy of totally extraperitoneal endoscopic hernioplasty (TEP) versus Lichtenstein hernioplasty: a systematic review and meta-analysis. Hernia. 2025;29(1):130. DOI: 10.1007/s10029-025-03322-x.
4. Ukhanov A.P., Zakharov D.V., Zhilin S.A., et al. Laparoscopic preperitoneal and Lichtenstein inguinal hernia repair. What method is preferable. Pirogov Russian Journal of Surgery. 2024;(9):110–118. DOI: 10.17116/hirurgia2024091110. (In Russ.).
5. Tarasov E.E., Nishnevich E.V., Bagin V.A. et al. Total extraperitoneal inguinal hernia repair under local anesthesia. Pirogov Russian Journal of Surgery. 2025;(6):44–50. DOI: 10.17116/hirurgia202506144. (In Russ.).
6. Tarasov E.E., Nishnevich E.V., Prudkov M.I., et al. Laparoscopic totally extraperitoneal repair of strangulated groin hernia. Pirogov Russian Journal of Surgery. 2022;(4):42–47. DOI: 10.17116/hirurgia202204142. (In Russ.).
7. Belousov A.M., Nepomnyaschaya S.L., Danilin V.N. et al. The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of incisional ventral hernia. Russian surgical journal. 2025;1(1):20–27. (In Russ.).
8. Clinical guidelines "Inguinal and femoral hernia" [Internet]. Ministry of Health of the Russian Federa-tion; [cited 2025 Jul 15]. Available from: https://cr.minzdrav.gov.ru/preview-cr/684_2].
9. The HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22:1–165. DOI: 10.1007/s10029-017-1668-x.
10. Prassas D., Rolfs T.M., Knoefel W.T. et al. Meta-analysis of totally extraperitoneal inguinal hernia repair in patients with previous lower abdominal surgery. Br J Surg. 2019;106(7):817–823. DOI: 10.1002/bjs.11140.
11. Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc. 2012;26(4):1187–1189. DOI: 10.1007/s00464-011-1993-6.
12. Curet M.J. Special problems in laparoscopic surgery. Previous abdominal surgery, obesity, and pregnancy. Surg Clin North Am. 2000;80(4):1093–110. DOI: 10.1016/s0039-6109(05)70215-2.
13. Sakoglu N., Donmez T. Does Prior Lower Abdominal Surgery Prevent Laparoscopic Hernia Repair (Totally Extraperitoneal or Transabdominal Preperitoneal)? A Prospective Observational Study. J Laparoendosc Adv Surg Tech A. 2025;35(2):162–169. DOI: 10.1089/lap.2024.0349.
Review
For citations:
Tarasov E.E., Nishnevich E.V., Bagin V.A., Korishch I.A., Burceva P.L., Prudkov M.I. Extended totally extraperitoneal hernioplasty in patient with recurrent inguinal hernia and previous abdominal surgery (case report). Russian surgical journal. 2025;1(3):29-35. (In Russ.) https://doi.org/10.18705/3034-7270-2025-1-3-29-35. EDN: JZGQZA
Views:
38
Email this article 