Study of recurrences after anterior open tension-free hernioplasty

Abstract

The anterior open tension-free hernioplasty popularized by the Lichtenstein group has gained world-wide acceptance and popularity. As described by the same group, utilization of a small sheet of mesh and failure to overlap the mesh with the pubic tubercle can lead to recurrence of the hernia. However, recurrence through the internal ring has not been reported. We report three recurrences from the internal ring area after open tension-free hernioplasty. The cause is discussed and the importance of making a mesh shutter mechanism at the internal ring in order to prevent indirect recurrence, is emphasized.