A case of laparoscopic surgery for abdominal wall abscess caused by penetration of the sigmoid colon by a mesh plug Kazuhiro TAKAMI 1 , Hiroto SAKURAI 1 , Ichiro ISE 2 , Kuniharu YAMAMOTO 1 , Chikashi SHIBATA 2 , Yu KATAYOSE 1 1Division of Hepato-biliary-pancreatic Surgery, Tohoku Medical and Pharmaceutical University 2Division of Gastoroenterologic Surgery, Tohoku Medical and Pharmaceutical University Keyword: メッシュプラグ , 穿通 , 腹腔鏡手術 pp.377-382
Published Date 2021/9/15
DOI https://doi.org/10.11477/mf.4426200935
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 The patient was a 73-year-old man. Twenty-four years previously, he had undergone laparoscopic hernioplasty for bilateral inguinal hernia. Two years later, recurrence was observed on the left side, and hernioplasty using a mesh-plug was performed. At his current presentation, he visited our hospital complaining of pain and swelling in the left groin. Computed tomography (CT) revealed an inflammatory mass and abdominal wall abscess continuous with the sigmoid colon in the left groin, and colonoscopy revealed a mesh-plug exposed in the sigmoid colon. Taken together, we considered that the mesh plug had caused sigmoid colon perforation and abdominal wall abscess, and surgery was planned. In the operation, the sigmoid colon containing the mesh-plug was resected from the abdominal wall in a laparoscopic operation with an anterior approach from the groin. Then, partial resection of the sigmoid colon containing the mesh-plug was performed. Cases involving penetration of the intestine by the mesh used in hernia surgery have been often reported. In such cases, it is considered that laparoscopic surgery can magnify the pelvic wall anatomy and safely detach the intestinal tract containing the foreign body from the abdominal wall.

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