Abstract
Mesh repair of ventral hernias (MRVH) is a standard treatment modality used for this condition. If an operation is required after MRVH, it may require mesh incision on mesh removal with extensive abdominal wall reconstruction, and preventing mesh infection is essential in such cases. General abdominal surgery after MRVH has not been sufficiently investigated. A 74-year-old woman was diagnosed with acute appendicitis 8 months after MRVH. We performed laparoscopic appendectomy without mesh incision. We had performed a small laparotomy at the site of the camera port during the previous surgery. Using a Cattelan needle, we confirmed that the port could be placed at the same site without mesh incision. The patient's postoperative course was unremarkable without mesh infection. A laparoscopic approach is useful in patients undergoing general abdominal surgery after MRVH because it is associated with a low risk of wound infection and can avoid mesh incision, which may cause mesh infection.
