title: Laparoscopic management of infected mesh after laparoscopic inguinal hernia repair.
abstract: OBJECTIVE
  We present our experience with 10 patients with infected meshes after laparoscopic inguinal hernia repair in whom we explanted infected meshes laparoscopically.
  
  
  METHODS
  On retrospective analysis over 5 years (2007 to 2012), we identified 10 patients (6 TAPP/4 TEP) with localized deep-seated mesh infections in whom infected meshes were explanted laparoscopically. Peritoneum was incised, associated abscesses were drained, meshes were identified, separated, and extracted through 10/12 mm port.
  
  
  RESULTS
  Nine patients experienced resolution of symptoms after 3 weeks of surgical intervention and remained asymptomatic at mean follow-up of 20 months (range, 4 to 42 mo). One patient with recurrent abscess required surgical drainage twice. Mean hospital stay was 2.2 days (range, 1 to 9 d). Two patients developed recurrent hernia at 6 and 8 months after mesh explantation.
  
  
  CONCLUSIONS
  Laparoscopic explantation of infected meshes after laparoscopic hernia repair leads to less scarring and early recovery. Contamination of anterior abdominal wall after cutaneous drainage of deep-seated abscess is avoided.
authors.affiliation: Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Superspeciality Hospital, New Delhi, India.
authors.forename: Pradeep K
authors.initials: PK
authors.lastname: Chowbey
authors.forename: Rajesh
authors.initials: R
authors.lastname: Khullar
authors.forename: Anil
authors.initials: A
authors.lastname: Sharma
authors.forename: Vandana
authors.initials: V
authors.lastname: Soni
authors.forename: Manish
authors.initials: M
authors.lastname: Baijal
authors.forename: Neeraj
authors.initials: N
authors.lastname: Garg
authors.forename: Khoobsurat
authors.initials: K
authors.lastname: Najma
mesh_terms: D000328:Adult; D000368:Aged; D020878:Device Removal / Q000379:methods*; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed