title: [Chronic inguinal pain after transperitoneal mesh implantation. Case report of net shrinkage].
abstract: The implantation of a mesh is an essential step in laparoscopic inguinal hernia surgery. We present the case of a 22-year-old man who developed an unspecific and refractory syndrome of inguinal pain after a TAPP procedure for a primary inguinal hernia. Repeated reoperation for removement of clips and nerve transection were unsuccessful. By a transinguinal approach, 18 months after the first operation we removed a preperitoneal Prolene mesh which had shrunk and folded to 30% of its original size. The problem of biocompatibility of meshes currently used in inguinal hernia surgery is discussed.
authors.affiliation: Chirurgische Universitätsklinik, RWTH Aachen.
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
authors.forename: G
authors.initials: G
authors.lastname: Arlt
authors.forename: A
authors.initials: A
authors.lastname: Schlachetzki
authors.forename: B
authors.initials: B
authors.lastname: Klosterhalfen
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D010149:Postoperative Pain / Q000209:etiology* / Q000601:surgery; D011126:Polypropylenes; D011475:Prosthesis Failure; D012086:Reoperation; D013526:Surgical Mesh
chemical_list: D011126:Polypropylenes
vernacular_title: Chronischer Leistenschmerz nach transperitonealer Netzimplantation (TAPP). Kasuistik einer Netzchrumpfung.