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Updated: Jun 27, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
An unusual finding in the follow-up of a transabdominal pre-peritoneal (TAPP) implanted mesh for inguinal hernia
1Department of General and Abdominal Surgery, Imeldaziekenhuis vzw, Bonheiden, Belgium. rajaram.roycoemar@hotmail.com
Background:
Abnormalities around titanium stapled sites are not well described in the literature. Existence of staple granulomas or neoplasms on titanium stapled sites used in TAPP procedures is unknown.
Case:
We report a case in which differentiation of suspected staple granuloma or neoplasm around a titanium staple, used to secure the mesh in a TAPP procedure, could not be made other than by pathologic examination.
Conclusion:
This case emphasises that although the appearance of the lesion may be suspected for staple granuloma, the possibility of a malignant neoplasm should always be considered.
