JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 25, Issue 1 (January 2020)
Japanese

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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基本情報

13446703.25.1.jpg
日本内視鏡外科学会雑誌
25巻1号 (2020年1月)
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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