A case of chronic pain after transabdominal preperitoneal approach(TAPP) which improved after laparoscopic mesh removal Hajime FUJIWARA 1 , Mizuo HASHIMOTO 1 , Tetsushi MIZUTANI 1 , Hiroaki Usui 1 , Motonobu NISHIMURA 1 , Kenji SAKAGUCHI 1 1Department of Surgery, Chubu Rosai Hospital Keyword: 鼠径ヘルニア , 慢性疼痛 , メッシュ除去 pp.68-72
Published Date 2020/1/15
DOI https://doi.org/10.11477/mf.4426200774
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 The patient was a 64-year-old man who presented with left inguinal swelling since 1 year ago. We diagnosed left inguinal hernia because of an egg-sized bulging was found in the left inguinal region. We performed TAPP repair. Intraoperative findings, a left internal inguinal hernia and a left femoral hernia were noted. Six months after discharge, he was re-examined for pain after surgery. There were no recurrent signs, numbness, sensory abnormalities or Tinel symptoms. We thought that pressure by the mesh was the cause, because the pain was only in the forward posture. There was no improvement after 3 months, therefore, we performed laparoscopic mesh removal and performed mesh plug surgery later for inguinal hernia. We noticed improvement in pain after reoperation. We report a case of chronic pain after TAPP which improved after mesh removal.

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