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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

Insights

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.

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.
Keywords:
AppendicitisLaparoscopic hernia repair

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