Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
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Fecha
2020
Título de la revista
Publicado en
International Journal of Surgery Case Reports, 2210-2612, Vol. 66, 2020, p. 334-337
Publicado por
Elsevier
ISSN de la revista
Título del volumen
Resumen
Descripción
Abstract
Background
The complications induced by mesh, such as foreign body reaction, deep-seated infection, mesh migration and perforation into viscera, have been reported sporadically. Colon erosion and penetration by laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair mesh can possibly cause perforation of the colon with acute abdomen.
Case presentation
A 100-year-old male, who underwent 4 years ago TAPP repair of left inguinal, presented to the emergency department with acute abdomen due to chronic mesh penetration into the sigmoid colon, the migrating mesh generated a free wall perforation with generalized fecal peritonitis.
Discussion
Tailoring the mesh, appropriate suture placement and adherence to principles of antisepsis during hernia repair surgery are crucial in avoiding longterm mesh-related complications.
Conclusion
TAPP is a safe procedure for treat groin hernias, unless, mesh complications like foreign body reaction, deep-seated infection, mesh migration and perforation.
Palabras clave
Keywords
Laparoscopic transabdominal preperitoneal (TAPP), Migration, Foreign body and acute abdomen
Temáticas
Laparoscopía
Cuerpos extraños
Abdomen agudo
Cuerpos extraños
Abdomen agudo