Table 1.

Possible causes of recurrence in laparoscopic inguinal hernia repair

Technique	Lack of experience
	Insufficient extent of dissection
	Missed hernia
	Preperitoneal lipoma
	Suboptimal mesh placement
	Inappropriate retention/fixation
	Mesh lifted by hematoma
	Inferior lateral mesh edge lifted at closure
Material	Micro-porous mesh
	Heavyweight mesh/ excessive shrinkage
	Size too small
	Insufficient overlap in relation to shrinkage
	Mesh slit
	Mesh protrusion
Risk factors	Collagen disease
	Smoking
	Obesity
	Malnutrition
	Diabetes Type II
	Chronic lung disease
	Coagulopathy
	Steroids
	Radiotherapy, chemotherapy
	Jaundice
	Male gender
	Anemia