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Recurrence after postinicizsional hernia surgery is an unsolved problem so far. In literature the hernia reccurence varies between 1% and 50%, influenced by the postoperative follow-up period. The purpose of this paper is to describe the term „complex postincisional hernia”. It becomes necessary to clarify the term and make a classification in order to be able to apply a surgical treatment adapted to the patient's plurifactorial pathology and to allow comparison of the results between the different surgical methods. This paper is a review of the literature on this subject, obtained through the use of EPOS, NCBI, PubMed, MedLine, Embase and other international databases. [ABSTRACT FROM AUTHOR]

Primary or incisional parietal defects are benign lesions, but their disposition to complications and recurrences always need surgical treatment. On the 2nd place, after apendicectomy and representing between 10% and 15% from a general surgery department activity, the number of these defects is increasing proportionally to the medium life expectancy, technological progress and high addressability of the specialized medical services. Laparoscopic management of the inguinal hernias goes to the same principles of the classical techniques, but the minimal invasively approach, lower costs, short hospitalization and overall recovery of the patient, lead to the extension and improvement of these laparoscopic procedures. From the simple procedures, such as the "plug and patch" technique to the now-a-days extended and complex ones the improvement of these methods has been made along three decades, and now it is unanimously accepted that the laparoscopic treatment of these defects is higher than ever. The present article, based on a review of specialized literature, aims at establisging the optimal approach, the feasibility of these procedures, the technique and last, but not least, the immediate and remote complications that may occur when the laparoscopic surgery is the treatment of choice in inguinal hernias. [ABSTRACT FROM AUTHOR]

Inguinal hernias represent a common pathology in the general surgery departments; the frequent complications of such a pathology, as well as the temporarily reduced work capacity led imagining minimum invasive procedures, sustainable and free of any additional complications as compared to the classical techniques. Among all laparoscopic techniques, TAPP - transabdominal preperitoneal seems to be more accurate, with postoperative long distance results and with minimum complications compared both to the technique itself and to the classical techniques. TAPP stands for the classic surgery principles, accomplishes the benefits of a solid remaking of the abdominal wall and the possible complications are at least similar with the ones of the classical surgery. The procedure has the advantage of being less invasive, short hospitalization, good recovery of the patient without pains in the early postoperative period and rapid socio-professional reintegration of the patient. After a thorough analysis of the specialized literature, the present article highlights the accuracy of the TAPP technique, the complications that may occur, comparing the TAPP with the other laparoscopic and classic surgery techniques. [ABSTRACT FROM AUTHOR]