Abstract
A 63-year-old man underwent laparoscopic transabdominal preperitoneal (TAPP) repair of a right inguinal hernia in August 2013. He returned to the clinic in October 2013 with bulging in the right inguinal region. Computed tomography revealed abscess formation at the surgical site, and postoperative infection was diagnosed. With no response to conservative treatment, surgery was performed in November 2013. The abscess was approached from the inguinal region, and the abscess cavity was exposed for removal of necrotic tissue and washing. The mesh was not removed, as it was not in contact with the abscess cavity. After surgery, continuous washing was performed through a drainage tube placed at the surgical site, but the abscess did not resolve. Laparoscopic mesh removal was subsequently performed in January 2014. The mesh was found to be firmly adhered to the surrounding tissue and extra effort was needed for removal. Wound infection resolved rapidly after surgery and no relapse of hernia has since been noted. Details of this rare case of post-TAPP mesh infection that was successfully treated by laparoscopic mesh removal are reported and accompanied by a review of the literature.
