Recurrence after Mesh Plug Tension-free Repair of Inguinal Hernia (Analysis of 27 cases)

Objective: To seek the measures of reducing recurrence rate in patients with primary inguinal hernia after mesh plug or only mesh tension-free hernioplasty. Methods: During re-operation, twenty-seven patients re-operated for recurrent hernia after mesh plug or only mesh tension-free hernioplasty during the period of 1998.12～2002.12, were analyzed retrospectively. Results: In 17 cases having had mesh plug hernioplasty, 5 failed to have high ligation of the sac; 1 had a very small sac, sac extruding with contents beside the mesh plug in 2 cases, sac extruding between two mesh plugs in 1 case; 5 cases with direct hernia and 1 case with femoral hernia appearing in patients originally treated for indirect hernia; 2 cases of indirect hernia in appearing in patients originally treated for direct hernia. In 10 cases where mesh was used only for hernioplasty, 4 failed to have high ligation of the sac; 5 cases of had direct hernia in patients originally treated for indirect hernia and 1 had indirect hernia in a patient originally treated for direct hernia. Conclusion: Careful and canonical techniques are required to reduce the recurrence rate in hernial repair.