Sigmoid Colon Fistula due to Mesh Infection in a Patient Operated for Incarcerated Groin Hernia with Transabdominal Pre-Peritoneal (TAPP) Technique

Year 2015, , 122 - 126, 09.10.2015

Halis Bağ Haldun Kar Necat Cin Emir Çapkınoğlu Yasin Peker Evren Durak Fatma Tatar

https://doi.org/10.17826/cutf.18282

Abstract

Although laparoscopic surgery is an accepted procedure in elective inguinal hernia repair, it is controversial for incarcerated hernias. Persistent infections due to inflammation of mesh; visceral tissue erosion and migration of mesh are rare but possible complications. In this manuscript, we report a case of laparoscopic hernia repair with transabdominal preperitoneal technique complicated with both these complications and discuss with literature.

Keywords

TAPP complications, mesh migration, incarcerated groin hernia

Transabdominal Pre-Peritoneal (TAPP) Tekniği ile Inkarsere Inguinal Herni Tamiri Yapılan Hastada Mesh Enfeksiyonunu Takiben Gelişen Sigmoid Kolon Fistülü

Abstract

Elektif inguinal herni tamirlerinde laparoskopik yaklaşım cerrahi pratikde kabul görmüş ve yaygın olarak kullanılan bir yöntem olmasına karşın, inkarsere inguinal herni tamirinde bu tekniğin kullanımı halen tartışmalıdır. Bu teknikle yapılan herni tamirlerinden sonra mesh enflamasyonu ve neden olduğu inatçı yara yeri enfeksiyonları ile meshin çevre visseral organlarda sebep olduğu erozyon ve migrasyonu nadir görülen komplikasyonlardır. Yazımızda bu iki nadir komplikasyonun birarada olduğu transabdominal pre-peritoneal tekniği ile laparoskopik herni tamiri yapılan, inkarsere inguinal herni tanılı hastayı literatür eşliğinde sunacağız.

Keywords

TAPP komplikasyon, mesh migrasyonu, inkarsere inguinal herni

References

• Deeba S, Purkayastha S, Paraskevas P, Athanasiou T, Darzi A, Zacharakis E. Laparoscopic approach to incarcerated and strangulated inguinal hernias. JSLS. 2009;13:327–31
• Legnani GL, Rasini M, Pastori S, Sarli D. Laparoscopic trans-peritoneal hernioplasty (TAPP) fort he acute management of strangulated inguino- crural hernias: A report of nine cases. Hernia. 2008;12:185-8.
• Ferzli G, Shapiro K, Chaudry G, Patel S . Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc. 2004;18:228-31.
• Goswamı R, Babor M, Ojo A. Mesh erosion into
• caecum following laparoscopic repair of inguinal hernia (TAPP): A case report and literature review. Journal of Laparoendoscopic & Advanced Surgıcal Techniques. 2007;17:669-72.
• Johanet H, Contival N. Mesh infection after inguinal hernia mesh repair. Journal of Visceral Surgery. 2011;148:392-4.
• Alston D, Parnell S, Hoonjan B, Sebastian A, Howard
• Avtan L, Avcı C, Bulut T, Fourtanier G. Mesh
• infections after laparoscopic inguinal hernia repair. Surgical Laparoscopy & Endoscopy. 1997;7:192-5.
• Taylor SG, O’Dwyer PJ. Chronic groin sepsis following tension-free inguinal hernioplasty. British Journal of Surgery. 1999;86:562-5.
• Delikoukos S, Tzovaras G, Liakou P, Mantzos F, Hatzitheofılou C. Late-onset deep mesh infection after inguinal hernia repair. Hernia. 2007;11:15-17.
• Rebuffat C, Galli A, Scalambra MS, Balsamo F. Laparoscopic repair of strangulated hernias. Surg Endosc 2006;20:131-4.
• Choi YY, Kim Z, Hur KY. Laparoscopic total extraperitoneal repair for incarcerated inguinal hernia. J Korean Surg Soc. 2011;80:426-30.
• Tamhankar AP, Ravi K, Everitt NJ. Vacuum assisted closure therapy in the treatment of mesh infection after hernia repair. Surgeon. 2009;7:316-8.
• Agrawal A, Avill A. Mesh migration following repair of inguinal hernia:a case report and review of literature . Hernia 2006;10:79-82
• Hamouda A, Kennedy J, Grant N, Nigam A, Karanjia N. Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repairs this the tip of iceberg?. Hernia. 2010;14:317-9