Mesh erosion into skin following laparoscopic totally extraperitoneal (TEP) inguinal hernia repair.

Autor:	Soon CY; Department of General Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Siow SL; Department of General Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia szeli18@yahoo.com.; Taylor's University School of Medicine, Subang Jaya, Selangor Darul Ehsan, Malaysia.; Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Jan 03; Vol. 16 (1). Date of Electronic Publication: 2023 Jan 03.
DOI:	10.1136/bcr-2022-254011
Abstrakt:	With increasing utilisation of meshes in inguinal hernia repair, reports of mesh-related complications are emerging, particularly late visceral complications, with mesh migration and erosion into the small bowel, bladder and colon reported after laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. We present a case of spontaneous mesh migration through the superficial inguinal ring with skin erosion following TEP inguinal hernia repair, the first published report in the literature to our knowledge. This case highlights the difficulty in diagnosis due to the long latent period of hernia repair and the onset of erosion. A high index of suspicion is required when diagnosing any patient who presents with an unexplained groin abscess following ipsilateral TEP repair. CT scan should be performed early for diagnosis and assessment. Removal of the migrated portion of the mesh, antibiotic therapy and secondary wound closure are strategies for the successful treatment of this complication. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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