# Successful Robotic Transabdominal Preperitoneal Approach for Recurrence of Anterior Mesh Plug Inguinal Hernia Repair: A Case Report

## TL;DR

A robotic surgery approach successfully repaired a recurrent inguinal hernia in an elderly patient after a previous mesh plug repair.

## Contribution

Demonstrates the feasibility and safety of robotic TAPP for complex recurrent hernia cases.

## Key findings

- Robotic TAPP repair was successfully performed in a patient with a long-term recurrent hernia.
- No recurrence was observed during nine months of follow-up after the robotic repair.

## Abstract

Recurrent inguinal hernia after mesh plug repair remains technically challenging, particularly due to distorted anatomy and fibrosis. Robotic surgery may offer advantages in such complex reoperative cases.

An 87-year-old male presented with recurrent right inguinal hernia 20 years after anterior mesh plug repair. Computed tomography demonstrated recurrent herniation with fibrotic tissue involvement. Robotic transabdominal preperitoneal (TAPP) repair using the da Vinci Xi system (Intuitive Surgical, Inc., Sunnyvale, CA) was successfully performed. The postoperative course was uneventful, and no recurrence was observed during nine months of follow-up.

This case demonstrates that robotic TAPP repair is a feasible and safe option for recurrent inguinal hernia following anterior mesh plug repair.