Peer-reviewed veterinary case report
Robotic surgery fixes recurring inguinal hernia after mesh plug repair
By Ishii MS et al.·2026·Shiroyama Hospital·View original on Europe PMC →
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Original publication title: Successful Robotic Transabdominal Preperitoneal Approach for Recurrence of Anterior Mesh Plug Inguinal Hernia Repair: A Case Report.
Plain-English summary
An 87-year-old man had a recurring problem with a right inguinal hernia, which is a bulge in the groin area, 20 years after he had surgery to fix it with a mesh plug. Doctors used a special robotic surgery technique to repair the hernia, which allowed them to work around the scar tissue and changes from the previous surgery. After the operation, he recovered well, and there were no signs of the hernia coming back during the nine months that followed. This case shows that using robotic surgery for this type of hernia repair can be a safe and effective option.
Abstract
Recurrent inguinal hernia after mesh plug repair remains technically challenging, particularly due to distorted anatomy and fibrosis. Robotic surgery may offer advantages in such complex reoperative cases. An 87-year-old male presented with recurrent right inguinal hernia 20 years after anterior mesh plug repair. Computed tomography demonstrated recurrent herniation with fibrotic tissue involvement. Robotic transabdominal preperitoneal (TAPP) repair using the da Vinci Xi system (Intuitive Surgical, Inc., Sunnyvale, CA) was successfully performed. The postoperative course was uneventful, and no recurrence was observed during nine months of follow-up. This case demonstrates that robotic TAPP repair is a feasible and safe option for recurrent inguinal hernia following anterior mesh plug repair.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41658622