As both a researcher and a patient, I am wondering what the best approach for a hernia repair in a patient who has had 6 inguinal hernia repairs, 4 on left side and 2 on right. The next surgery will be the 7th repair for a left inguinal hernia occuring near the location of the plug placed during the last repair.
Pt history: male 36 years of age with hx of smoking, overweight but not obese, General health his good. Hernia's have been reoccurring since 18 mos with hx of strangulation and has had an umbilical hernia since birth that has caused no pain or issues.
The newest hernia is small, but very painful for the pt who has been refused pain management by primary care and pain specialist.
Should laparoscopic repair be done for the 7th or should no repair take place until it is medically relevant?
Recurrent hernia can be due to the patients collagen disorder, repair will be a temporary relief only
I think is the plastic surgery of whole inferior abdominal wall by transplantation, auto- or hetero- (from another donor).
No esta claro en la pregunta por que via se han reparado las hernias mencionadas. Sin dudas son muchas. El abordsje endoscopico se impone
Besides my previous answer, I think it would a good method the placing of a powerful and unique netting (mesh) to reinforce the abdominal wall.
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