Delayed laparoscopic mesh infection presenting as an abdominal mass.
A 56-year-old man presented with a delayed mesh infection 8 years following an elective laparoscopic totally extraperitoneal (TEP) bilateral hernia repair. Sterile pus was drained percutaneously as a temporising measure prior to removal of the right-hand mesh; the left-sided mesh was adherent to the femoral vessels and minimally contaminated. Delayed mesh infection is a rare occurrence. This case is the fourth example and the longest following initial operation. Removal of the infected mesh is advocated.
North Bristol NHS Trust , UK.
J M L
JM
Williamson
North Bristol NHS Trust , UK.
P
P
Newman
North Bristol NHS Trust , UK.
C P
CP
Armstrong
D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D013526:Surgical Mesh / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
Extraperitoneal collection; Mesh infection; Totally extraperitoneal mesh