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Laparoscopic appendicectomy for suspected mesh-induced appendicitis after laparoscopic transabdominal preperitoneal polypropylene mesh inguinal herniorraphy
Laparoscopic inguinal herniorraphy via a transabdominal preperitoneal (TAPP) approach using Polypropylene Mesh (Mesh) and staples is an accepted technique. Mesh induces a localised inflammatory response that may extend to, and involve, adjacent abdominal and pelvic viscera such as the appendix. We p...
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Published in: | Journal of minimal access surgery 2010-01, Vol.6 (1), p.19-21 |
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Main Authors: | , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
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Summary: | Laparoscopic inguinal herniorraphy via a transabdominal preperitoneal
(TAPP) approach using Polypropylene Mesh (Mesh) and staples is an
accepted technique. Mesh induces a localised inflammatory response that
may extend to, and involve, adjacent abdominal and pelvic viscera such
as the appendix. We present an interesting case of suspected
Mesh-induced appendicitis treated successfully with laparoscopic
appendicectomy, without Mesh removal, in an elderly gentleman who
presented with symptoms and signs of acute appendicitis 18 months after
laparoscopic inguinal hernia repair. Possible mechanisms for
Mesh-induced appendicitis are briefly discussed. |
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ISSN: | 0972-9941 1998-3921 |
DOI: | 10.4103/0972-9941.62532 |