Bowel perforation surgery due to fecal impaction immediately after hernia mesh surgery (TAPP)

Inguinal hernia repair using prosthetic mesh is used as a standard treatment in most countries and considered superior to primary suture repair. Although prosthetic mesh has greatly reduced the risk of recurrence, the risk of mesh infection remains. A 71-year-old man was diagnosed with symptomatic b...

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Bibliographic Details
Published in:Journal of surgical case reports 2022-12, Vol.2022 (12), p.rjac583
Main Authors: Choi, Jung Bum, Lee, Byoung Chul, Han, Jeong Hee, Noh, Byeong Gwan, Park, Jae Kyun, Park, Young Mok, Jung, Hyuk Jae, Jo, Hong Jae
Format: Article
Language:English
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Case Report
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Summary:Inguinal hernia repair using prosthetic mesh is used as a standard treatment in most countries and considered superior to primary suture repair. Although prosthetic mesh has greatly reduced the risk of recurrence, the risk of mesh infection remains. A 71-year-old man was diagnosed with symptomatic bilateral inguinal hernias. He underwent successful laparoscopic transabdominal preperitoneal (TAPP) repair and was discharged the same day. After 3 days, he was diagnosed with small bowel perforation, and underwent emergency surgery. We found perforation of the distal ileum caused by the fecal impaction and severe intra-abdominal contamination. We performed subtotal colectomy and ileosigmoid anastomosis, but did not remove the prosthetic mesh because the previous TAPP site was intact. The patient recovered well post-operatively. Therefore, contaminated or dirty surgery immediately after the hernia mesh surgery could be a feasible treatment.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjac583