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Early sigmoid perforation involving left inguinal hernia mesh repair: a case report

Fatemeh Salimi1, Prabhat Narayan1, Zahra Salimi2

  • 1Department of Urology, Oxford University Hospital, Oxford.

Annals of Medicine and Surgery (2012)
|February 27, 2023
PubMed

Insights

A rare complication of inguinal hernia mesh repair, sigmoid perforation, occurred 3 weeks post-surgery. Prompt diagnosis and surgical intervention, including mesh removal, led to a successful outcome.

Area of Science:

  • Surgical complications
  • Gastrointestinal surgery
  • Hernia repair

Background:

  • Inguinal hernia mesh repair is common, but bowel injury is a serious risk.
  • Delayed complications can arise weeks after the initial procedure.

Purpose of the Study:

  • To report a rare case of sigmoid perforation following inguinal hernia mesh repair.
  • To highlight the diagnostic and management challenges of this complication.

Main Methods:

  • Case report of a 69-year-old male patient.
  • Diagnosis of sigmoid perforation involving mesh.
  • Surgical intervention including Hartmann's procedure and mesh removal.

Main Results:

  • A deep retroperitoneal collection developed 3 weeks post-left inguinal hernioplasty.
  • Sigmoid perforation was diagnosed and successfully treated.
  • Patient underwent Hartmann's procedure with mesh removal.

Conclusions:

  • Early diagnosis and surgical management are crucial for bowel perforation after hernia mesh repair.
  • Mesh removal may be necessary in cases of intra-abdominal complications.
Keywords:
complication of meshinguinal herniainguinal hernia repair complicationssigmoid perforation

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