Unexpected adhesions to a previously inserted preperitoneal mesh plug.
Adhesion formation is a long-term complication of laparoscopic inguinal hernia surgery-particularly by the transabdominal preperitoneal technique; but it is not thought to occur after open repair. We describe a gentleman presenting with a recurrent hernia who had previously undergone an open mesh plug repair 4 years earlier. At laparoscopy he was found to have considerable adhesions associated with the plug. These were successfully divided before repair. This case illustrates the possibility of intra-abdominal adhesions developing even after open hernia surgery.
Mehta
Sam
S
Department of Upper Gastrointestinal Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK.
Rhodes
Michael
M
D000368:Aged; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D009852:Omentum; D010532:Peritoneal Diseases / Q000209:etiology* / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery