title: Strangulated appendix after transabdominal preperitoneal (TAPP) inguinal hernia repair.
abstract: 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.
authors.affiliation: Department of General Surgery, Division of Trauma and Critical Care, University of Kentucky College of Medicine, Lexington, KY 40536-0298, USA. ldproc0@uky.edu
authors.forename: Levi David
authors.initials: LD
authors.lastname: Procter
authors.forename: Andrew
authors.initials: A
authors.lastname: Bernard
authors.forename: Paul
authors.initials: P
authors.lastname: Kearney
mesh_terms: 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