Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia

Introduction: Laparoscopic hernia surgery is performed by almost every general and laparoscopic surgeon worldwide, Trans-abdominal Preperitoneal (TAPP) and Totally Extraperitoneal (TEP) being the most frequently performed. Seroma formation leading to deep seated mesh infection with abscess is rare...

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Autores principales:	Rajiv Nakarmi, Muza Shrestha, Sundar Maharjan
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Abscess Hernia Laparoscopy Mesh infection Trans-abdominal pre-peritoneal repair Surgery RD1-811
Acceso en línea:	https://doaj.org/article/084b56a09a9145068bd3606a771c18fc
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spelling	oai:doaj.org-article:084b56a09a9145068bd3606a771c18fc2021-12-05T19:15:40ZInguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia10.3126/jssn.v23i1.335581815-39842392-4772https://doaj.org/article/084b56a09a9145068bd3606a771c18fc2020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/33558https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Laparoscopic hernia surgery is performed by almost every general and laparoscopic surgeon worldwide, Trans-abdominal Preperitoneal (TAPP) and Totally Extraperitoneal (TEP) being the most frequently performed. Seroma formation leading to deep seated mesh infection with abscess is rare but once it occurs it can be very difficult to treat. The rate of mesh infection after open mesh repair is reported to be between 0.5% - 3%, whereas in laparoscopic repair is less than 0.16%. Seroma formation following TAPP is 3%-8% and following TEP is 0.5-12.2%. Case Report: A 19 years old male presented with groin swelling, fever and weight loss three months after the laparoscopic TAPP surgery for right inguinal hernia. Workup showed he had developed mesh infection with pre-peritoneal abscess which was managed with open drainage of the abscess with removal of the infected mesh. Conclusion: Seroma formation may result in abscess formation. If occurred removal of the mesh with drainage of abscess is often required. The chance of recurrence of hernia following management of infected mesh should always be considered Rajiv NakarmiMuza ShresthaSundar MaharjanSociety of Surgeons of NepalarticleAbscessHerniaLaparoscopyMesh infectionTrans-abdominal pre-peritoneal repairSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Abscess Hernia Laparoscopy Mesh infection Trans-abdominal pre-peritoneal repair Surgery RD1-811
spellingShingle	Abscess Hernia Laparoscopy Mesh infection Trans-abdominal pre-peritoneal repair Surgery RD1-811 Rajiv Nakarmi Muza Shrestha Sundar Maharjan Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia
description	Introduction: Laparoscopic hernia surgery is performed by almost every general and laparoscopic surgeon worldwide, Trans-abdominal Preperitoneal (TAPP) and Totally Extraperitoneal (TEP) being the most frequently performed. Seroma formation leading to deep seated mesh infection with abscess is rare but once it occurs it can be very difficult to treat. The rate of mesh infection after open mesh repair is reported to be between 0.5% - 3%, whereas in laparoscopic repair is less than 0.16%. Seroma formation following TAPP is 3%-8% and following TEP is 0.5-12.2%. Case Report: A 19 years old male presented with groin swelling, fever and weight loss three months after the laparoscopic TAPP surgery for right inguinal hernia. Workup showed he had developed mesh infection with pre-peritoneal abscess which was managed with open drainage of the abscess with removal of the infected mesh. Conclusion: Seroma formation may result in abscess formation. If occurred removal of the mesh with drainage of abscess is often required. The chance of recurrence of hernia following management of infected mesh should always be considered
format	article
author	Rajiv Nakarmi Muza Shrestha Sundar Maharjan
author_facet	Rajiv Nakarmi Muza Shrestha Sundar Maharjan
author_sort	Rajiv Nakarmi
title	Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia
title_short	Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia
title_full	Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia
title_fullStr	Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia
title_full_unstemmed	Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia
title_sort	inguinal abscess following trans-abdominal preperitoneal mesh repair for inguinal hernia
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/084b56a09a9145068bd3606a771c18fc
work_keys_str_mv	AT rajivnakarmi inguinalabscessfollowingtransabdominalpreperitonealmeshrepairforinguinalhernia AT muzashrestha inguinalabscessfollowingtransabdominalpreperitonealmeshrepairforinguinalhernia AT sundarmaharjan inguinalabscessfollowingtransabdominalpreperitonealmeshrepairforinguinalhernia
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Inguinal abscess following Trans-abdominal Preperitoneal Mesh repair for inguinal hernia

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