medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2025, Number 3

<< Back Next >>

Acta Med 2025; 23 (3)

Intraintestinal migration of prosthetic mesh after TAPP-type inguinal repair

Contreras AA, Domínguez RJA, Luis MVT

Language: Spanish
References: 6
Page: 300-302
PDF size: 183.97 Kb.


ABSTRACT

Introduction: transabdominal preperitoneal repair (TAPP) involves the creation of a peritoneal flap. Incomplete closure of the peritoneum can lead to intestinal obstruction, mesh migration and perforation of the viscera. Case report: 40-year-old male with a history of TAPP inguinal plasty who presents with abdominal pain and fever. He presents with leukocytosis and elevated C-reactive protein. Abdominal CT shows a left inguinal collection. Exploratory laparotomy was performed, identifying a mesh migrated towards the sigmoid with perforation. Conclusions: the importance of adequate closure of the peritoneal flap prevents contact of the mesh with the abdominal viscera.


REFERENCES

  1. Jan Z, Ali S, Ahmed N, Sarwar MA. Comparison of common postoperative complications between Lichtenstein open repair and laparoscopic transabdominal pre-peritoneal (TAPP) repair for unilateral inguinal hernia. Cureus. 2021; 13 (9): e17863. doi: 10.7759/cureus.17863.

  2. Cardoso D, Rebanda J, Góis C. Mesh migration and bowel perforation as a late complication of transabdominal preperitoneal laparoscopic hernia repair. Cureus. 2022; 14 (12): e32683. doi: 10.7759/cureus.32683.

  3. Na Y, Sun YH, Sun ZC, Xu HM. Mesh erosion into sigmoid colon after inguinal hernia repair. Chin Med J (Engl). 2017; 130 (9): 1133-1134. doi: 10.4103/0366-6999.204939.

  4. Fajardo R, Diaz F, Cabrera LF, Pedraza M. 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. Int J Surg Case Rep. 2020; 66: 334-337. doi: 10.1016/j.ijscr.2019.11.050.

  5. Ahmad S, Aslam R, Iftikhar M, Alam M. Early outcomes of laparoscopic transabdominal preperitoneal (TAPP) repair. Cureus. 2023; 15 (2): e35567. doi: 10.7759/cureus.35567.

  6. Asano H, Yajima S, Hosoi Y, Takagi M, Fukano H, Ohara Y, et al. Mesh penetrating the cecum and bladder following inguinal hernia surgery: a case report. J Med Case Rep. 2017;11(1):260.




2020     |     www.medigraphic.com