AIM The analysis of possible mechanisms of repair failure is a necessary instrument and the best way to decrease the recurrence rate and improve the overall results. Avoiding historical errors and learning from the reported pitfalls and mistakes helps to standardize the relatively new laparoscopic techniques of trans-abdominal preperitoneal and total extraperitoneal. MATERIALS AND METHODS The...

SUMMARY Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we observed a shorter mean duration of surge...

Laparoscopic inguinal herniorraphy is a commonly performed procedure given the reported decrease in pain and earlier return to activity when compared with the open approach. Moreover, robotic assistance offers the operating surgeon considerable ergonomic advantages, making it an attractive alternative to conventional laparoscopic herniorraphy. Robotic herniorraphy utilizes the transabdominal pr...

The safety of combining transabdominal preperitoneal (TAPP) hernioplasty and cholecystectomy in one laparoscopic surgery is still for many years questionable. We report two cases describing the safety and discussing the main concerns regarding the complications. As there are only few cases discuss this kind of combination, we aim to further clarify this subject to provide the best practice for ...

BACKGROUND As new approaches to herniorrhaphy are popularized, new complications are being encountered. Pneumomediastinum is one such complication. METHODS We present a patient who developed pneumomediastinum after an elective bilateral preperitoneal laparoscopic hernia repair. RESULTS The patient was observed and discharged 24 hours later with no permanent sequelae. CONCLUSION Pneumomedi...