Intraperitoneal onlay mesh repair as rescue therapy for recurrent inguinal hernia following robotic transabdominal preperitoneal repair: a case report.

Abstract

Inguinal hernia is one of the most common procedures performed using a robotic transabdominal preperitoneal (TAPP) approach. Recurrence can occur due to failed reperitonealization. A breach in the peritoneum exposing mesh to bowel can lead to severe complications, requiring surgical correction. We describe a case where, despite repeated closure attempts, the peritoneum could not be approximated. An intraperitoneal onlay mesh was used as rescue therapy in a morbidly obese, diabetic female with multiple comorbidities on Plavix.