Late mesh rejection as a complication to transabdominal preperitoneal laparoscopic hernia repair.
BACKGROUND
The use of a mesh in transabdominal preperitoneal laparoscopic hernia repair (TAPP) caries the risk of late rejection or infectious complications related to the mesh. The aim of this study was to describe the extent of these complications.


METHODS
We performed a retrospective study of 500 consecutive patients with TAPP for inguinal hernia.


RESULTS
Late mesh rejection was observed in three patients at 5-19 months after surgery. The mesh was removed via a suprapubic midline incision. At 3-4 month's follow-up, none of the patients had recurrence of the hernia, even though no hernia repair had been done.


CONCLUSIONS
Late mesh rejection is a potential complication of TAPP and has to be considered when choosing the surgical method of hernia repair.
Department of Surgery, Sygehus Fyn, DK-5800 Nyborg, Denmark.
C
C
Hofbauer
P V
PV
Andersen
P
P
Juul
N
N
Qvist
D000328:Adult; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*
D011126:Polypropylenes