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Asymptomatic mesh infection 6 years after laparoscopic totally extraperitoneal inguinal hernia repair: A rare case
Zhiwang Li1, Haijing Zeng1, Yuping Liu1
1Department of Gastrointestinal Surgery Meizhou People's Hospital Meizhou China.
Abstract:
This report aims to discuss a case of asymptomatic mesh infection 6 years after laparoscopic totally extraperitoneal (TEP) inguinal hernia repair and to reveal that the risk of mesh infection may occur after a long period of this surgery. This report is also intended to suggest surgeons pay more attention to the follow-up of such patients and to be aware of the possibility of mesh infection to assist in early diagnosis and treatment. A 63-year-old male patient, who underwent TEP inguinal hernia repair 6 years ago for right inguinal hernia, fell down accidentally 2 weeks ago. Enhanced computed tomography(CT) showed right lower abdomen cystic lesions, so he underwent laparoscopic surgery during which abscess caused by delayed mesh infection was found. After removing the mesh and abscess, he was discharged. The risk of mesh infection after TEP inguinal hernia repair is low, but it can last for more than 6 years and can even be asymptomatic as long as the mesh remains in the body.
Insights
Delayed mesh infection after laparoscopic totally extraperitoneal (TEP) inguinal hernia repair can occur years later and remain asymptomatic. Surgeons should monitor patients long-term for early diagnosis and treatment of this rare complication.
Area of Science:
- Surgical Innovation
- Medical Case Reports
- Infectious Diseases
Background:
- Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair is a common surgical procedure.
- While mesh infection is a known complication, late-onset and asymptomatic cases are less understood.
- Long-term surveillance after TEP repair is crucial for identifying delayed complications.
