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Peer-reviewedCC BYCureus

Laparoscopic Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Direct Kugel Procedure: A Case Report

  • Hirokazu Matsuura1
  • Kotaro Nishida1
  • Taro Kataoka1
  • Takayuki Okuno1
  • Yusuke Kyoden1
  1. 1Department of Surgery, Ibaraki Prefectural Central Hospital, Ibaraki, JPN
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Abstract

Recurrent inguinal hernia (IH) repair is difficult and challenging because of the anatomical complexity and alterations involved. Recurrence is a multifactorial outcome influenced by both surgical and anatomical factors. Adopting a meticulous approach is important to avoid complications and recurrence. There is no consensus regarding the optimal approach for repairing recurrence. A laparoscopic approach is often preferred, as it provides clear visualization and facilitates identification. This report describes the case of a 78-year-old male patient, treated with direct Kugel (DK) hernioplasty three years earlier, who underwent laparoscopic surgery for recurrence. Completely covering the myopectineal orifice (MPO) with adequate overlap was essential to preventing recurrence. Laparoscopic surgery offers a beneficial approach for such cases.

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Cite

BibTeXRIS
BibTeX
@article{matsuura2026laparoscopic,
  title = {{Laparoscopic Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Direct Kugel Procedure: A Case Report}},
  author = {Hirokazu Matsuura and Kotaro Nishida and Taro Kataoka and Takayuki Okuno and Yusuke Kyoden},
  journal = {Cureus},
  year = {2026},
  month = sep,
  doi = {10.7759/cureus.117108},
  url = {https://europepmc.org/article/PMC/PMC13716984},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Laparoscopic Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Direct Kugel Procedure: A Case Report
AU  - Hirokazu Matsuura
AU  - Kotaro Nishida
AU  - Taro Kataoka
AU  - Takayuki Okuno
AU  - Yusuke Kyoden
PY  - 2026
DA  - 2026/09/28
JO  - Cureus
DO  - 10.7759/cureus.117108
UR  - https://europepmc.org/article/PMC/PMC13716984
AB  - Recurrent inguinal hernia (IH) repair is difficult and challenging because of the anatomical complexity and alterations involved. Recurrence is a multifactorial outcome influenced by both surgical and anatomical factors. Adopting a meticulous approach is important to avoid complications and recurrence. There is no consensus regarding the optimal approach for repairing recurrence. A laparoscopic approach is often preferred, as it provides clear visualization and facilitates identification. This report describes the case of a 78-year-old male patient, treated with direct Kugel (DK) hernioplasty three years earlier, who underwent laparoscopic surgery for recurrence. Completely covering the myopectineal orifice (MPO) with adequate overlap was essential to preventing recurrence. Laparoscopic surgery offers a beneficial approach for such cases.
SN  - 2168-8184
ER  -