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A rare complication after transabdominal preperitoneal hernia repair: Acute appendicitis

Ozan Caliskan1, Mehmet Taner Unlu, Nurcihan Aygun

  • 1Department of General Surgery, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Journal of Minimal Access Surgery
|March 6, 2025
PubMed

Insights

Mesh-induced appendicitis is a rare complication following transabdominal preperitoneal (TAPP) hernia repair. This case highlights the importance of repairing peritoneal openings to prevent such rare occurrences.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Case Reports

Background:

  • Transabdominal preperitoneal (TAPP) hernia repair is a common surgical procedure.
  • Mesh-induced appendicitis is a very rare long-term complication, with only five previous cases reported.
  • Acute appendicitis can occur as a result of mesh placement during TAPP repair.

Purpose of the Study:

  • To present a case of mesh-induced acute appendicitis following a TAPP hernia repair.
  • To emphasize the importance of meticulous surgical technique in preventing rare complications.

Main Methods:

  • A case study of a 25-year-old male patient presenting with symptoms of appendicitis two years after TAPP repair.
  • Diagnostic imaging (likely CT scan or ultrasound) and diagnostic laparoscopy were utilized.
  • Laparoscopic appendectomy was performed for treatment.

Main Results:

  • Imaging revealed the appendix adhered to the TAPP mesh, indicating entrapment.
  • Diagnostic laparoscopy confirmed appendiceal inflammation and adherence to the mesh.
  • Successful laparoscopic appendectomy was performed, with histopathology confirming chronic inflammation.

Conclusions:

  • Mesh-induced appendicitis is a rare but possible complication of TAPP repair.
  • Thorough surgical repair of peritoneal defects is crucial to prevent mesh migration and subsequent complications like appendicitis.
  • Early diagnosis and surgical intervention lead to favorable patient outcomes.
Keywords:
Acute appendicitiscomplicationlaparoscopytransabdominal preperitoneal hernia repair

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