Laparoscopic repair of recurrent inguinal hernia via a contralateral high-peritoneal-incision approach: a case report.

Abstract

Recurrent inguinal hernias remain surgically challenging, especially after anterior mesh repair, due to dense adhesions and altered anatomy. Laparoscopic transabdominal preperitoneal (TAPP) repair offers diagnostic and therapeutic advantages, but severe adhesions may limit ipsilateral dissection. We report a 77-year-old man with bilateral inguinal hernias, including a recurrent left hernia after mesh plug repair. Anticipating adhesions, a high peritoneal incision was made on the contralateral side, and dissection was extended across the midline. This approach allowed safe identification and repair of the recurrent defect using a ProGrip™ mesh. Although the overlap was limited, additional fixation ensured stability. The patient had an uneventful postoperative course. The contralateral high-incision TAPP approach may represent a feasible and effective option when ipsilateral access is hazardous, highlighting the importance of flexible strategies for mesh placement and fixation in complex recurrent hernias.