Strangulated appendix after transabdominal preperitoneal (TAPP) inguinal hernia repair.
BACKGROUND
Laparoscopic inguinal hernia repair can be performed totally extraperitoneal or transabdominal preperitoneal (TAPP). Both repairs are associated with mesh-related complications. This is the first report of a mesh-strangulated appendix, with subsequent necrosis and perforation, after TAPP inguinal hernia repair.


METHODS
A 48-year-old male, 10-years status post-bilateral TAPP inguinal hernia repair presented with acute right groin bulge, pain, nausea, emesis, and fever. He was found to have a large, tender, nonreducible right groin mass. He was taken to the operating room for right groin exploration and found to have gross purulent material but no evidence of a recurrent hernia. A laparoscope was inserted into the abdomen where the appendix was found strangulated between the mesh and the transversalis fascia.


CONCLUSIONS
Mesh-related complications after TAPP inguinal hernia repair are rare. This is the first report of a strangulated appendix secondary to mesh entrapment after TAPP repair.
Procter
Levi David
LD
Department of General Surgery, Division of Trauma and Critical Care, University of Kentucky College of Medicine, Lexington, KY 40536-0298, USA. ldproc0@uky.edu
Bernard
Andrew
A
Kearney
Paul
P
D001065:Appendix / Q000293:injuries*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000009:adverse effects