What is the long-term monitoring for patients with laparoscopic inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Answer

Long-term monitoring for a TAPP repair is much the same as that for other hernia repair techniques. Routine follow-up in 1-2 weeks is warranted for checking the wound and assessing the patient’s overall condition. Longer-term follow-up is scheduled on an as-needed basis. Because hernia recurrences typically do not manifest until 6-12 months after the repair, long-term follow-up will be necessary in some cases. Patients should be counseled about the signs and symptoms of hernia recurrences and followed as needed.

Typically, postoperative pain resolves or greatly decreases by the first postoperative visit. Patients with ongoing pain issues after surgery require frequent office visits and complex multidisciplinary treatment that includes pain specialists and physical therapists; in some instances, surgical treatment will subsequently be required.

Because patients often do not return to their primary surgeon for long-term follow-up, surgeons who perform TAPP procedures should consider keeping a database of their patients or becoming involved in national registries to assess long-term outcomes.


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