Abstract
A 57-year-old man had undergone bilateral hernioplasty for a bilateral inguinal hernia at other hospital in October 2004. Purulent discharge appeared from the right inguinal region in April 2011. In June, he was seen at our hospital because of persistent purulent discharge. A cutaneous fistula with purulent discharge was detected 2 finger breadths away from the right inguinal surgical scar. After detailed examinations including computed tomography (CT) and fistulography, he was finally diagnosed with late-onset mesh infection. Because of the late-onset of deep prosthetic infection and cutaneous fistula with intractable prulent discharge, we removed the infected mesh and resected the fistula. The postoperative course was uneventful and he was discharged from our hospital on the 7th postoperative day. After the operation, recurrence of hernia has not occurred. In cases of late-onset prosthetic infection, it should be required to remove the mesh because a complete cure cannot be expected with only conservative therapy.
