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Extremely Late-Onset Deep Infection Post Inguinal Hernia Repair After Panendoscopy

Katrina Ng1, Kim Goddard2

  • 1General Surgery, Sir Charles Gairdner Hospital, Perth, AUS.

Cureus
|March 21, 2022
PubMed

Insights

Mesh infection after hernia repair can occur years later. This case highlights bacterial translocation as a potential cause and successful treatment, emphasizing late diagnosis is possible.

Area of Science:

  • Surgical complications
  • Infectious disease
  • Gastroenterology

Background:

  • Mesh-related infections are a known complication following hernia repair surgery.
  • Prompt diagnosis and treatment are crucial to prevent severe patient outcomes.

Observation:

  • A patient presented with a mesh infection many years after undergoing hernia repair.
  • The infection was potentially linked to bacterial translocation following a colonoscopy procedure.

Findings:

  • The case details the successful treatment of a late-presenting mesh infection.
  • This underscores the possibility of mesh infection occurring long after the initial surgical procedure.

Implications:

  • Clinicians should consider mesh infection as a differential diagnosis for patients presenting with symptoms years after hernia repair.
  • The findings suggest that bacterial translocation from gastrointestinal procedures may contribute to late mesh infections.
Keywords:
abdominal sinusbacterial translocationdelayed infectionhernia meshopen inguinal hernia repair

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