Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review.

Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. Research Abstract Details 

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Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. Abstract Text:

Rup Goswami,Mohammed Babor,Akinyede Ojo,Rup Goswami,Mohammed Babor,Akinyede Ojo,

Repair of inguinal hernia is the most commonly performed surgical procedure. Both open and laparoscopic methods are accepted modalities of surgical treatment. Transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) are the two types of laparoscopic repair of the inguineal hernia. The main advantages of laparoscopic repair, as compared to open repair, are a shorter hospital stay and a quicker recovery to normal activities. However, laparoscopic repairs are associated with a higher incidence of visceral and vascular injuries. One particular complication is the migration and erosion of mesh into the adjacent viscera. Although the total numbers of cases are small, compared to the total numbers of inguinal hernia repairs, they are important, as they often presented with a diagnostic dilemma. Most of the mesh migrations reported in the literature involves the urinary bladder. In this paper, we present a case of erosion of mesh into the caecum. The patient (a 66-year-old male) underwent TAPP repair of a right inguinal hernia in 1996 with polypropelene mesh. He also underwent an open appendicectomy in 1980. During the laparoscopic repair, he was found to have multiple intra-abdominal adhesions. He presented with intermittent diarrhea, for which he was investigated, and a benign caecal lesion was found. He was initially managed conservatively. However, his symptoms persisted and he underwent a right hemicolectomy in February 2006 in our hospital. The offending lesion was found to be the prolene mesh having eroded into the caecum.

Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. Publishing Authors By Initials

R Goswami,M Babor,A Ojo,R Goswami,M Babor,A Ojo,

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Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of laparoendoscopic & advanced surgical te

VOLUME: 17

Page Numbers: 669-72

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ISSN: 1092-6429

DAY: 2

MONTH: Oct

YEAR: 2007

Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. Information

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LANGUAGE: eng

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AFFILIATION: Department of General Surgery, King George Hospital, Ilford, United Kingdom. rupgoswami01@hotmail.com

Country: United States

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MEDLINETA: J Laparoendosc Adv Surg Tech A

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