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Delayed laparoscopic mesh infection presenting as an abdominal mass
J M L Williamson1, P Newman1, C P Armstrong1
1North Bristol NHS Trust , UK.
Annals of the Royal College of Surgeons of England
|August 15, 2015
Summary
Delayed mesh infection after laparoscopic hernia repair is rare, occurring up to 8 years post-operation. This case highlights the longest delay and advocates for infected mesh removal.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Hernia repair outcomes
Background:
- Laparoscopic totally extraperitoneal (TEP) bilateral hernia repair is a common procedure.
- Delayed mesh infection is a rare but serious complication.
- This case presents a unique instance of infection occurring 8 years post-repair.
Observation:
- A 56-year-old man developed a delayed mesh infection 8 years after laparoscopic TEP bilateral hernia repair.
- Initial management involved percutaneous drainage of sterile pus.
- The right-sided mesh was removed, while the left-sided mesh was adhered to femoral vessels.
Findings:
- This represents the fourth reported case of delayed mesh infection.
- This case has the longest documented interval between surgery and infection.
- Infected mesh removal is recommended for managing such complications.
Implications:
- Delayed mesh infections, though rare, require prompt diagnosis and management.
- Surgical site infection protocols may need to consider long-term follow-up.
- Further research into the pathogenesis and prevention of late-onset mesh infections is warranted.
