title: Recurrence of an inguinal hernia containing the dome of the bladder following laparoscopic repair with mesh: A case report.
abstract: BACKGROUND
  A sliding hernia is a rare type of inguinal hernia in which the hernia sac is partially formed by the wall of a viscus, such as the sigmoid colon, bladder, cecum, or appendix. Sliding hernias involving the bladder often present with obstructive urinary symptoms that could potential lead to serious complications.
  
  
  METHODS
  In this case, we present a 37-year-old male with a recurrent sliding hernia containing the dome of the bladder after prior laparoscopic repair of a direct inguinal hernia with mesh.
  
  
  CONCLUSIONS
  A TAPP approach is preferred over a TEP approach in the laparoscopic repair of a sliding hernia; however, an open Lichenstein repair should be used in cases of recurrent hernias with severe complications, such as extensive adhesions or incarceration.
  
  
  CONCLUSIONS
  The surgical approach for repair of a sliding hernia must be individualized based on the patient's clinical presentation and diagnostic findings.
authors.affiliation: Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States. Electronic address: rkonik@neomed.edu.
authors.forename: Ryan D
authors.initials: RD
authors.lastname: Konik
authors.affiliation: Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States.
authors.forename: Patrick
authors.initials: P
authors.lastname: Narh-Martey
authors.affiliation: Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States.
authors.forename: Gregg
authors.initials: G
authors.lastname: Bogen
keywords: Case report; Direct hernia urinary bladder; Lichtenstein repair; Sliding hernia; TAPP repair; TEP repair