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Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature

BACKGROUND: The complications induced by mesh, such as foreign body reaction, deep-seated infection, mesh migration and perforation into viscera, have been reported sporadically. Colon erosion and penetration by laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair mesh can possibl...

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Detalles Bibliográficos
Autores principales: Fajardo, Roosevelt, Diaz, Francisco, Cabrera, Luis F., Pedraza, Mauricio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013167/
https://www.ncbi.nlm.nih.gov/pubmed/31924576
http://dx.doi.org/10.1016/j.ijscr.2019.11.050
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author Fajardo, Roosevelt
Diaz, Francisco
Cabrera, Luis F.
Pedraza, Mauricio
author_facet Fajardo, Roosevelt
Diaz, Francisco
Cabrera, Luis F.
Pedraza, Mauricio
author_sort Fajardo, Roosevelt
collection PubMed
description BACKGROUND: The complications induced by mesh, such as foreign body reaction, deep-seated infection, mesh migration and perforation into viscera, have been reported sporadically. Colon erosion and penetration by laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair mesh can possibly cause perforation of the colon with acute abdomen. CASE PRESENTATION: A 100-year-old male, who underwent 4 years ago TAPP repair of left inguinal, presented to the emergency department with acute abdomen due to chronic mesh penetration into the sigmoid colon, the migrating mesh generated a free wall perforation with generalized fecal peritonitis. DISCUSSION: Tailoring the mesh, appropriate suture placement and adherence to principles of antisepsis during hernia repair surgery are crucial in avoiding longterm mesh-related complications. CONCLUSION: TAPP is a safe procedure for treat groin hernias, unless, mesh complications like foreign body reaction, deep-seated infection, mesh migration and perforation.
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spelling pubmed-70131672020-02-18 Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature Fajardo, Roosevelt Diaz, Francisco Cabrera, Luis F. Pedraza, Mauricio Int J Surg Case Rep Article BACKGROUND: The complications induced by mesh, such as foreign body reaction, deep-seated infection, mesh migration and perforation into viscera, have been reported sporadically. Colon erosion and penetration by laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair mesh can possibly cause perforation of the colon with acute abdomen. CASE PRESENTATION: A 100-year-old male, who underwent 4 years ago TAPP repair of left inguinal, presented to the emergency department with acute abdomen due to chronic mesh penetration into the sigmoid colon, the migrating mesh generated a free wall perforation with generalized fecal peritonitis. DISCUSSION: Tailoring the mesh, appropriate suture placement and adherence to principles of antisepsis during hernia repair surgery are crucial in avoiding longterm mesh-related complications. CONCLUSION: TAPP is a safe procedure for treat groin hernias, unless, mesh complications like foreign body reaction, deep-seated infection, mesh migration and perforation. Elsevier 2019-11-30 /pmc/articles/PMC7013167/ /pubmed/31924576 http://dx.doi.org/10.1016/j.ijscr.2019.11.050 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fajardo, Roosevelt
Diaz, Francisco
Cabrera, Luis F.
Pedraza, Mauricio
Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
title Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
title_full Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
title_fullStr Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
title_full_unstemmed Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
title_short Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (TAPP): A case report and review of literature
title_sort acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (tapp): a case report and review of literature
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013167/
https://www.ncbi.nlm.nih.gov/pubmed/31924576
http://dx.doi.org/10.1016/j.ijscr.2019.11.050
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