Abstract：
We present a case of a recurrent inguinal bladder hernia that was previously unsuccessfully operated on three times and was repaired using totally extraperitoneal repair (TEP). A 79-year-old man presented with a right inguinal swelling that had been treated three times on the same side with anterior approaches. Computed tomography confirmed a recurrent inguinal bladder hernia. TEP was performed after identifying the bladder hernia preoperatively, with previous surgeries that used a plug-and-patch technique through an anterior approach. The extraperitoneal approach allowed the bladder to be reduced without injury and the hernia to be safely repaired using a 3D Max® Light Mesh. The postoperative recovery was uneventful, with no recurrence after 1 year. TEP facilitates the diagnosis and repair of bladder hernias, emphasizing the importance of preoperative diagnosis and the efficacy of endoscopic procedures in bladder hernia repair, even in recurrent cases.
摘要：
我们介绍了一例复发性腹股沟膀胱疝的病例，该病例先前三次手术均未成功，并使用完全腹膜外修复（TEP）进行了修复。一名79岁的男子出现右腹股沟肿胀，在同一侧用前路手术治疗了三次。计算机断层扫描证实腹股沟膀胱疝复发。在术前确定膀胱疝后进行TEP，与以前的手术使用的是通过前路插入和修补技术。腹膜外方法允许膀胱减少而不受伤，并使用3DMax®LightMesh安全修复疝气。术后恢复顺利,1年后无复发。TEP有助于膀胱疝的诊断和修复，强调术前诊断的重要性和内镜下膀胱疝修补术的疗效，即使在复发病例中。
