A rare long-term complication of transabdominal preperitoneal (TAPP) repair is mesh-induced appendicitis, of which only five cases have been described in the literature. We aimed to present our case of mesh-induced acute appendicitis after TAPP hernia repair. A 25-year-old male presented with a 2-day history of right iliac fossa pain, nausea and appetite loss. He had undergone TAPP repair for a right inguinal hernia 2 years earlier. Imaging revealed an inflamed appendix adhered to the TAPP mesh. Diagnostic laparoscopy confirmed the entrapment and inflammation of the appendix. The patient underwent a successful laparoscopic appendectomy and recovered without complications. Histopathology showed chronic inflammation. To prevent the development of appendicitis after TAPP operation, surgical repair of peritoneal openings is important to prevent such rare complications.
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http://dx.doi.org/10.4103/jmas.jmas_343_24 | DOI Listing |
Hernia
March 2025
Department of General Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Purpose: As the use of robotic platforms for inguinal hernia repairs continues to grow, the rTAPP (Robotic Trans-Abdominal Pre-Peritoneal) approach is being performed significantly more often than rTEP (Robotic Totally Extra-Peritoneal) and is predominantly taught to newly trained robotic surgeons. This study's primary objective was to evaluate the feasibility of a proposed modified rTEP technique that incorporates balloon dissection as a primary tool, enabling the horizontal placement of three trocars aligned with the umbilicus. Secondary objectives included evaluation of safety and effectiveness of this technique, and of the learning curve required to reach proficiency.
View Article and Find Full Text PDFSurg Endosc
March 2025
Department of Surgery, Comprehensive Hernia Program, Indiana University School of Medicine, 545 Barnhill Dr., EH 121, Indianapolis, IN, 46202, USA.
Background: Smoking, obesity, diabetes mellitus, and COPD are known risk factors for surgical site occurrences (SSO) following open ventral hernia repair. However, little evidence exists on whether these factors also significantly impact SSO after robotic hernia repair. This is a particularly important distinction because robotic approaches have been associated with fewer wound complications.
View Article and Find Full Text PDFJ Minim Access Surg
March 2025
Department of General Surgery, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Anticancer Res
March 2025
Department of Gastroenterological Surgery, NHO Kyushu Cancer Center, Fukuoka, Japan.
Background/aim: Locally advanced rectal cancer (LARC) with adjacent organ invasion presents significant surgical challenges, particularly in achieving negative circumferential resection margins (CRM). Transanal total mesorectal excision (TaTME) offers improved visualization and dissection in the deep pelvis, potentially enhancing oncologic and functional outcomes. This study evaluates the feasibility, oncologic safety and the possibility of anal preservation of TaTME in cT4b rectal cancer requiring combined organ resection.
View Article and Find Full Text PDFEur J Obstet Gynecol Reprod Biol
February 2025
Department of Urogynecology, Cork University Maternity Hospital, Cork, Ireland; Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University School of Medicine, Jerusalem, Israel. Electronic address:
Objective: To investigate trends in pelvic organ prolapse (POP) surgical repair procedures and patient characteristics over the past decade, focusing on peri-operative and post-operative complications.
Methods: This retrospective cohort study analyzed POP surgeries and short-term complications among women over 18 at a tertiary medical center from 2014 to 2022. Exclusion criteria included pelvic radiation, malignancy, significant comorbidities, incomplete records, or loss to follow-up.
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