Recurrent groin hernia surgery after primary open inguinal procedures: a reappraisal of the open preperitoneal (Ugahary) technique.

Purpose: There are several methods for repairing recurrent inguinal hernia, depending on the type of initial repair. Our aim was to analyze our long follow-up results on the open preperitoneal repair for patients with recurrent inguinal hernia.

Methods: Our retrospective survey included 135 consecutive recurrent inguinal hernia patients, operated on during 1999-2010, with a mean follow-up time of 8.

[Surgery-induced abdominal wall nerve entrapment: do not overlook intensive postoperative pain].

The most common cause of persistent postoperative pain after inguinal hernia repair is entrapment of a sensory nerve in the wound closure, The pain may be triggered by touching the skin, and the pain is relieved after a nerve block. In two patient cases, division of the nerve immediately terminated the pain, and the relief seemed to be permanent. Pains are common in inguinal hernia scars, but also after an appendectomy operation and Pfannenstiel's incision.

Coexisting ipsilateral right femoral hernia and incarcerated obturator hernia.

Obturator hernia (OH) is an uncommon cause of bowel obstruction and described in elderly females in the literature. The treatment has traditionally been laparotomy because of an acute nature of the condition. However, because of old age and comorbidities that OH is associated with, general anaesthesia may need to be avoided.