TITLE:
Delayed Mesh Infection: A Rare Complication of Laparoscopic Inguinal Hernia Repair (TEP—Totally Extra-Peritoneal Repair)
AUTHORS:
Anand Kumar Yadav, Vivek Bindal, Vinod Kumar Jangra, Zuber Khan, Shahnawaz Ahangar, Vikram Sharanappa, Mukund Khetan, Suviraj John, Sudhir Kalhan, Parveen Bhatia
KEYWORDS:
Laparoscopic Hernia Repair, Mesh Infection, Mesh Rejection, Pre-Peritoneal Cavity, Tacks, Erosion
JOURNAL NAME:
Surgical Science,
Vol.7 No.10,
October
10,
2016
ABSTRACT: Hernias
are amongst the oldest afflictions of mankind. The tension-free mesh repairs
revolutionized and radically changed the whole concept of anatomical tissue
repairs. The introduction of mesh, though beneficial, posed a new set of
postoperative problems with the mesh infection being the most morbid one. Laparoscopic surgery has been able to reduce the
incidence of mesh infection as opposed to the open hernia repairs. The
infection occurs mostly early but rarely does it present several years after
the surgery. Herein we report our case of delayed mesh infection developing 6
years postoperatively. This is our first such case in a series of more than 1000 laparoscopic hernia repairs over a period of 6
years (2010-2016). The
patient needed an open exploration which revealed a large preperitoneal cavity
containing 770 ml of pus with a mesh floating in it. The mesh was removed and
the thorough toileting of the wound was done.