Related Experiment Video
Updated: Apr 5, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Delayed laparoscopic mesh infection presenting as an abdominal mass
J M L Williamson1, P Newman1, C P Armstrong1
1North Bristol NHS Trust , UK.
Abstract:
A 56-year-old man presented with a delayed mesh infection 8 years following an elective laparoscopic totally extraperitoneal (TEP) bilateral hernia repair. Sterile pus was drained percutaneously as a temporising measure prior to removal of the right-hand mesh; the left-sided mesh was adherent to the femoral vessels and minimally contaminated. Delayed mesh infection is a rare occurrence. This case is the fourth example and the longest following initial operation. Removal of the infected mesh is advocated.
Insights
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.
