# Intraperitoneal onlay mesh repair as rescue therapy for recurrent inguinal hernia following robotic transabdominal preperitoneal repair: a case report

## TL;DR

This case report describes a rescue surgical technique using an intraperitoneal onlay mesh for a recurrent inguinal hernia after robotic surgery failed.

## Contribution

The novel use of intraperitoneal onlay mesh as a rescue therapy in a high-risk patient with multiple comorbidities is presented.

## Key findings

- Repeated attempts to close the peritoneum failed in a patient with a recurrent hernia.
- Intraperitoneal onlay mesh was successfully used as an alternative surgical approach.
- The patient had multiple comorbidities including obesity, diabetes, and was on Plavix.

## Abstract

Inguinal hernia is one of the most common procedures performed using a robotic transabdominal preperitoneal (TAPP) approach. Recurrence can occur due to failed reperitonealization. A breach in the peritoneum exposing mesh to bowel can lead to severe complications, requiring surgical correction. We describe a case where, despite repeated closure attempts, the peritoneum could not be approximated. An intraperitoneal onlay mesh was used as rescue therapy in a morbidly obese, diabetic female with multiple comorbidities on Plavix.