Late onset mesh infection following laparoscopic inguinal hernia repair.

BMJ Case Rep

Surgical Directorate, Princess Royal Hospital, Telford, Shropshire, UK.

Published: November 2011

AI Article Synopsis

  • The authors conducted a study of 710 laparoscopic hernia repairs over 10 years and encountered a rare case of delayed mesh infection 7 years after the surgery.
  • A 56-year-old patient experienced diarrhea and swelling in the right side of the abdomen, leading to imaging that showed a mesh in a fluid-filled cavity.
  • Upon surgical exploration, 550 ml of pus was found in the cavity alongside the mesh, which was subsequently removed, and the patient recovered well post-surgery.

Article Abstract

In our series of 710 consecutive laparoscopic total-extra-peritoneal hernia repairs over a period of 10 years (2001-2010), the authors report a rare case of delayed mesh infection developing 7 years postoperatively. A 56-year-old patient presented with diarrhoea and fullness in right iliac fossa region. Radiological imaging confirmed a floating mesh in a fluid-containing cavity. Subsequent exploration revealed a large preperitoneal cavity containing 550 ml of pus with a floating mesh in it. The mesh was removed and the patient was discharged after making a good recovery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229410PMC
http://dx.doi.org/10.1136/bcr.09.2011.4863DOI Listing

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