Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Mesh Infection after Laparoscopic Inguinal Hernia Repair
Hirofumi TERAKAWATakashi KOBAYASHINaoki HORIKAWATomokazu TOKOROMasaki TAKESHITAKazuhisa YABUSHITA
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2015 Volume 76 Issue 9 Pages 2323-2328

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Abstract
A 66-year-old man underwent examination because of the chief complaint of a swelling in his right inguinal region (groin). The examination revealed swelling in the groin on both the right and left sides indicating a diagnosis of bilateral inguinal hernia. As requested by the patient, we performed laparoscopic inguinal hernia repair (the transabdominal preperitoneal approach method), on the right side only. One month thereafter, the patient requested surgery for hernia the left side that was performed by an anterior approach. About one month following that surgery, he returned complaining of swelling and pain in the region extending from the right lower abdomen to the groin. Careful examination indicated a diagnosis of mesh infection following surgery for right inguinal hernia. Although transcutaneous drainage was performed, the elsion had not healed. Therefore, surgical removal of the mesh was carried out, following an anterior approach, using concurrent laparoscopy. As there have been very few reports on mesh infection following laparoscopic inguinal hernia repair, its treatment was difficult.
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© 2015 Japan Surgical Association
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