case_images: PMC6526286_01
case_images: (a) Recurrent hernia orifice was confirmed inferior to the lower edge of the mesh (white arrow). (b) Close-up view of the hernia.
case_images: gr1.jpg
case_images: PMC6526286_01_gr1.jpg
case_images: fig0005
case_images: To diagnose the type of recurrence and clarify the location of the defect, the orifice was inspected using laparoscopy and a 2-cm indirect hernia was detected inferior to the lower edge of the mesh (Fig. 1a and b).
case_images: The plug (arrow head) appropriately covers the inguinal floor with the previous mesh through the observation of the abdominal cavity under laparoscopy.
case_images: gr2.jpg
case_images: PMC6526286_01_gr2.jpg
case_images: fig0010
case_images: Franklin Lakes, NJ, USA) plug (height 3.8 cm, diameter 5.1 cm) was fixed to the transverse fascia and the previous mesh with six interrupted stitches using absorbable sutures. Finally, the overlap was confirmed to sufficiently cover the myopectineal orifice, and the plug was inverted under the peritoneal membrane using laparoscopy with increased pneumoperitoneum (Fig. 2).