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A case of late-onset mesh infection after Kugel repair for inguinal hernia treated with laparoscopic mesh removal Naoki MURAO 1 , Hiroaki TSUMURA 1 , Tetsuya KANEHIRO 1 , Satoru NAGATANI 1 , Hiroyuki TAOGOSHI 2 1Department of Surgery, Hiroshima City Funairi Citizens Hospital 2Institute of Biomedical and Health Sciences Applied Life Sciences Surgery, Hiroshima University Keyword: 遅発性感染 , 腹腔鏡 , メッシュ除去 pp.659-665
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200607
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 The patient is a man in his forties, who had undergone Kugel surgery on left inguinal hernia at other hospital. Purulent discharge from the wound appeared 4 years and 11 months after the surgery. Incisional drainage was performed but the infection relapsed. He was introduced to our department, and finally the mesh was removed laparoscopically. Since the medial dorsal side of the mesh adhered to the external iliac artery and vein, it was difficult to peel off the mesh. We could not remove the whole mesh, but the remaining mesh and peritoneal defect were covered with omentum. A year and a half has passed, but no infection or hernia recurrence has been observed. Late-onset mesh infections that develop after postoperative day 30, are resistant to preservation therapy and early mesh removal is desirable. Laparoscopic surgery was also considered to be an extremely useful procedure to remove the mesh present in the peritoneal frontal space because we could confirm the adhesion situation and subsequently perform omentum covering.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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