[Chronic inguinal pain after transperitoneal mesh implantation. Case report of net shrinkage].
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.
Schumpelick
V
V
Chirurgische Universitätsklinik, RWTH Aachen.
Arlt
G
G
Schlachetzki
A
A
Klosterhalfen
B
B
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
D011126:Polypropylenes
Chronischer Leistenschmerz nach transperitonealer Netzimplantation (TAPP). Kasuistik einer Netzchrumpfung.