# Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Kugel Hernioplasty Using the Pseudosac of Direct Inguinal Hernia: A Case Report

## TL;DR

A 71-year-old man had a successful laparoscopic hernia repair after a previous hernia surgery failed.

## Contribution

This case report presents a successful TAPP repair for a recurrent hernia after Kugel hernioplasty.

## Key findings

- The patient underwent TAPP surgery and showed no hernia recurrence three months post-surgery.
- The abdominal cavity visualization revealed a protruding mesh and hernia rings during the procedure.

## Abstract

Here, we report a case of laparoscopic trans-inguinal hernia repair (transabdominal preperitoneal repair or TAPP) for a recurrent inguinal hernia following direct Kugel surgery. A 71-year-old man underwent direct Kugel hernioplasty for a right inguinal hernia at another hospital 4 years prior to presentation. The patient subsequently underwent laparoscopic surgery using the TAPP technique, during which the abdominal cavity was visualized with a laparoscope, revealing a tubular mesh protruding towards the abdominal cavity with a direct and indirect hernia ring. Three months post-surgery, no recurrence was observed.