The main cause of recurrence is improper ligation. Tension-free and complete PIH ligation are critical to the success of surgery, which requires avoiding the peritoneum skip area and the subcutaneous and muscular tissues. Redo-laparoscopic surgery was suitable for the treatment of recurrent inguinal hernia (RIH). For giant hernias, direct ligation of the internal ring incorporating the medial umbilical ligament (DIRIM) may be needed.
Keyphrases
- laparoscopic surgery
- robot assisted
- minimally invasive
- free survival
- emergency department
- gene expression
- coronary artery bypass
- aortic valve replacement
- surgical site infection
- resistance training
- coronary artery disease
- rare case
- left ventricular
- body composition
- replacement therapy
- high intensity
- anterior cruciate ligament