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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

837
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
837
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

190
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Oct 23, 2025

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
09:00

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Entrapped appendicitis in post TAPP mesh repair.

S Ramasamy1, S K Bylapudi1, M R Jameel1

  • 1Milton Keynes University Hospital NHS Foundation Trust, UK.

Annals of the Royal College of Surgeons of England
|August 20, 2021
PubMed
Summary

Transabdominal preperitoneal (TAPP) repair is a common laparoscopic inguinal hernia surgery. A rare complication, mesh-induced appendicitis, occurred when the appendix became trapped in the TAPP mesh, a condition previously reported only four times.

Keywords:
AppendicitisLaparoscopic hernia repair

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Area of Science:

  • Laparoscopic surgery
  • Surgical complications
  • Gastrointestinal surgery

Background:

  • Transabdominal preperitoneal (TAPP) repair is a widely adopted laparoscopic technique for inguinal hernias.
  • Long-term complications of TAPP repair are uncommon but significant.
  • Mesh-induced appendicitis is a rare, previously documented complication.

Observation:

  • This report details a unique case of appendicitis arising as a complication of TAPP repair.
  • The patient presented with symptoms suggestive of appendicitis following TAPP surgery.
  • Diagnostic imaging revealed the appendix entrapped within the surgical mesh.

Findings:

  • The primary finding is the successful identification of mesh-induced appendicitis in a TAPP repair patient.
  • The appendix was anatomically trapped within the TAPP mesh, leading to inflammation.
  • This represents the fifth documented case of this rare complication in medical literature.

Implications:

  • This case highlights the potential for rare, long-term complications following TAPP repair.
  • Awareness of mesh-induced appendicitis is crucial for surgeons performing TAPP procedures.
  • Further investigation into mesh design and placement may be warranted to prevent such complications.