Laparoscopic mesh removal for mesh infection related to pararectal incision of previous appendectomy after laparoscopic total extraperitoneal inguinal hernia repair: A case report.
Asian J Endosc Surg
; 15(2): 368-371, 2022 Apr.
Article
en En
| MEDLINE
| ID: mdl-34994072
ABSTRACT
A 67-year-old man with a history of appendectomy 40 years ago underwent single-incision laparoscopic surgery for total extraperitoneal inguinal hernia repair. Postoperatively, the pararectal incisional scar obtained from the appendectomy was infected; thus, antibiotic therapy and drainage were performed. However, the infection persisted. After 5 postoperative months, the mesh was laparoscopically removed at a sufficient distance from the infected site. No enterocutaneous fistula was observed. After 1 year and 10 months, no recurrence of hernia or infection was observed. Thus, laparoscopic mesh removal is feasible. Infection of a 40-year-old incision rarely results in mesh infection. Therefore, in pararectal incision, the extent of mesh coverage should be considered; if the overlap is large, changing the technique by not covering the incision may be necessary.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Laparoscopía
/
Hernia Inguinal
Límite:
Adult
/
Aged
/
Humans
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Male
Idioma:
En
Revista:
Asian J Endosc Surg
Año:
2022
Tipo del documento:
Article
País de afiliación:
Japón