Delayed mesh infection presenting as an abdominal mass after laparoscopic inguinal hernia repair

Mesh migration mimicking sigmoid diverticulitis

“…Ventral hernias occur among 4%–30% of patients with previous abdominal surgeries and are usually managed with mesh repair with good outcomes 1 . Mesh complications include abscess formation and mesh infection which could present between 10 months to 8 years post‐operatively but mesh migration into the adjacent organ is rare 2 . A review of the literature showed only two reported cases of mesh migration into the sigmoid colon following ventral hernia repair 1,3 .…”

“…1 Mesh complications include abscess formation and mesh infection which could present between 10 months to 8 years post-operatively but mesh migration into the adjacent organ is rare. 2 A review of the literature showed only two reported cases of mesh migration into the sigmoid colon following ventral hernia repair. 1,3 This is the first reported case of mesh migration into the sigmoid colon mimicking acute diverticulitis post ventral hernia repair.…”

A Single-Arm Clinical Study Assessing Safety and Effectiveness of Path Removal for Delayed Patch Infection After Inguinal Hernioplasty

“…If an Intestinal Fistula is found, repair or anastomosis is performed under intraoperative conditions. The operative sequence of the laparoscopy was (1) insertion of a laparoscopic instrument to explore the adhesions between the greater omentum and the patch in the inguinal region under laparoscopy; (2) incision of the peritoneum along the original incision; (3) blunt dissection of the peritoneum to isolate scar adhesions in the gap between the peritoneum and the surrounding tissue; (4) found the patch, obtuse separation, removed the infected patch and ensure the integrity of the patch, while protecting protect the bladder, blood vessels and Vas deferens; (5) checked for intestinal Fistula and bladder injury; (6) checked for sinus formation, if marked solution (methylene blue) was injected into the Sinus, complete resection of the sinus; (7) rinsed the abdominal cavity carefully until the water was clear; (8) if the patch was placed the original TAPP space in the inguinal region was free, taken the biological patch, placed the TAPP space in the abdominal wall and pave it, completed coverage of the Muscle Pubic foramen and medial pubic tubercle, xed the patch with a screw gun, use of absorbable thread to reinforce the suture biomembrane and Abdominal Wall; (9) placement of a negative pressure drainage tube. The operative sequence of the open surgical operation was: A shuttle-shaped incision in the inguinal area is made, and methylene blue or methylene blue is injected into the Sinus Ostium to stain the infected Mesh, sutures, bio lms, and senescent tissue.…”

“…The only way to do that is to surgically remove the infected patch [5][6]. Few other studies show that the incidence of Mesh infection in open tension-free hernioplasty is 6%-10%, and has become one of the main factors of failure of inguinal hernia surgery [7]. There are still studies [8][9] that showed that certain early patch infections may be treated with conservative treatment, such as wound nursing, empirical antibiotics, and wound negative pressure treatment.…”