Laparoscopic totally extraperitoneal repair for recurrent inguinal bladder hernia: A case report

• Published in: Asian journal of endoscopic surgery 2024-07, Vol.17 (3), p.e13352-n/a
• Main Authors: Kitano, Yuto, Okamoto, Koji, Aoki, Tatsuya, Watanabe, Kazuhide, Takehara, Akira, Shibahara, Kazushige
• Format: Article
• Language: English
• Subjects: Aged; Hernia, Inguinal - surgery; Herniorrhaphy - methods; Humans; inguinal bladder hernia; Laparoscopy - methods; Male; Recurrence; recurrent inguinal hernia; Surgical Mesh; totally extraperitoneal repair; Urinary Bladder Diseases - surgery
• ISSN: 1758-5902; 1758-5910; 1758-5910
• DOI: 10.1111/ases.13352

We present a case of a recurrent inguinal bladder hernia that was previously unsuccessfully operated on three times and was repaired using totally extraperitoneal repair (TEP). A 79‐year‐old man presented with a right inguinal swelling that had been treated three times on the same side with anterior approaches. Computed tomography confirmed a recurrent inguinal bladder hernia. TEP was performed after identifying the bladder hernia preoperatively, with previous surgeries that used a plug‐and‐patch technique through an anterior approach. The extraperitoneal approach allowed the bladder to be reduced without injury and the hernia to be safely repaired using a 3D Max® Light Mesh. The postoperative recovery was uneventful, with no recurrence after 1 year. TEP facilitates the diagnosis and repair of bladder hernias, emphasizing the importance of preoperative diagnosis and the efficacy of endoscopic procedures in bladder hernia repair, even in recurrent cases.