Peer-reviewed veterinary case report
Transabdominal Preperitoneal Repair for Recurrent Inguinal Hernia Following Robot-Assisted Radical Prostatectomy and Prior Anterior Mesh Repair: A Case Report.
By Fukuda J et al.·2026·Department of Surgery, Japan·View original on Europe PMC →
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Plain-English summary
This case report discusses a patient who developed a recurrent inguinal hernia (a type of hernia in the groin area) after having robot-assisted surgery for prostate cancer and a previous mesh repair. The usual method for fixing this type of hernia is through the front, but this patient had complications that made that approach difficult. Instead, the surgeons used a different technique called transabdominal preperitoneal (TAPP) repair, which involves accessing the hernia from a different angle. During the surgery, they found that the previous mesh had shifted and the hernia had come back, but despite the challenges, they were able to successfully place new mesh. This case shows that the TAPP method can be an effective option for patients with complex hernia recurrences.
Abstract
Robot-assisted radical prostatectomy (RARP) is the standard treatment for prostate cancer; however, inguinal hernias (IH) development is a common complication. Current guidelines generally recommend an anterior approach following RARP for the initial IH. However, the optimal surgical strategy for patients with recurrent IH after RARP who have a history of anterior mesh repair remains unclear. This report describes the first successful transabdominal preperitoneal (TAPP) repair of a recurrent IH in a patient with a history of RARP and Kugel plug repair. Intraoperative findings revealed displacement of the mesh plug and recurrence of the IH (Japan Hernia Society classification R1, L2). The prevesical space was severely scarred because of the effects of RARP, making dissection of the inner side of the hernia orifice difficult; however, mesh placement was successfully completed. This case demonstrated the feasibility and efficacy of the TAPP approach as a radical treatment for complex recurrences in a specialized patient population.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41633544