The authors evaluated a group of patients operated in 1993-1996 on account of relapsing inguinal hernia by Lichtenstein's technique. During an average follow-up period of 24 months 28% of the patients had another relapse of inguinal hernia. Because of the poor results the authors changed in January 1997 the surgical tactics in relapsing inguinal hernias. They operate by Nyhus preperitoneal approach and by laparoscopy transabdominally, placing a net in a preperitoneal position (TAPP) with subsequent follow-up of the patients.

Chirurgická klinika IDVZ Dérerova nemocnica Bratislava Slovenská republika