Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty – Report of a case and review of the literature

Autor: Maitreyi Patel, Chetan Shenoy, Ganesh Nagarajan, Vinod Chandiramani
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Minimal Access Surgery, Vol 16, Iss 4, Pp 411-414 (2020)
Druh dokumentu: article
ISSN: 0972-9941
1998-3921
DOI: 10.4103/jmas.JMAS_122_19
Popis: Over the past three decades, the practice laparoscopic inguinal hernioplasty has gained momentum. Mesh migration after laparoscopic inguinal hernia repair is an uncommon mesh-related delayed complication which is more common after transabdominal preperitoneal repair as compared to total extraperitoneal (TEP) repair. We report the first case of mesh migration into the sigmoid colon after TEP presenting 10 years after surgery. A 72-year-old male presented with left iliac fossa pain and diffuse lump. His computed tomogram scan showed sigmoid colon adherent to internal oblique at the site of hernia repair with a collection containing air specks and calcification. A colonoscopy revealed mesh within the sigmoid colon. He had to undergo a sigmoidectomy with Hartmann's surgery for the same. Here, we discuss the implicated pathophysiology, management and prevention of mesh migration after laparoscopic inguinal hernioplasty with literature review.
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