A rare complication after transabdominal preperitoneal hernia repair: Acute appendicitis.

J Minim Access Surg

Department of General Surgery, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Published: March 2025

AI Article Synopsis

  • A rare complication of TAPP repair is mesh-induced appendicitis, with only five previous cases reported.
  • A 25-year-old male developed acute appendicitis two years after TAPP surgery, presenting with abdominal pain, nausea, and loss of appetite.
  • Imaging confirmed appendicitis due to the appendix being adhered to the TAPP mesh, and the patient successfully underwent laparoscopic appendectomy with no complications.

Article Abstract

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_24DOI Listing

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Article Synopsis
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  • A 25-year-old male developed acute appendicitis two years after TAPP surgery, presenting with abdominal pain, nausea, and loss of appetite.
  • Imaging confirmed appendicitis due to the appendix being adhered to the TAPP mesh, and the patient successfully underwent laparoscopic appendectomy with no complications.
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