Abstract
A 75-year-old man underwent right hernioplasty using a mesh plug for a right inguinal hernia at another hospital in 2005. Swelling of the operative wound and purulent discharge developed in December 2010. He underwent conservative therapy at a local hospital. The swelling and purulent discharge temporarily improved ; however, these recurred after a short time. Therefore, he was referred to our department for further treatment. He was diagnosed with late-onset mesh infection ; we removed the infected mesh in June 2013. The infected plug and onlay patch were entirely removed. The spermatic cord and testicular artery and vein were preserved. The postoperative course was uneventful, and he was discharged on the 7th postoperative day. Postoperatively, no recurrence of hernia or infection had occurred. The removal of the prosthesis may be required in cases of late-onset mesh infection.
