Bowel Perforation Surgery due to Fecal Impaction Immediately after Hernia Mesh Surgery (TAPP)

Choi JB, Lee BC*, Han JH, Noh BG, Park JK, Park YM, Jung HJ and Jo HJ

Department of Surgery, Pusan National University Hospital, South Korea

^*Correspondance to: Byoung Chul Lee 

 PDF  Full Text DOI: 10.25107/2474-1647.3591

Abstract

Inguinal hernia repair using prosthetic mesh is standard treatment in most countries and accepted as superior to primary suture repair. Although the risk of recurrence was reduced by using prosthetic mesh during hernia surgery, the risk of mesh infection remains. A 71-year-old man presented with symptomatic bilateral inguinal hernias. He underwent successful laparoscopic Transabdominal Preperitoneal (TAPP) repair and was discharged the same day. Three days later, he presented with small bowel perforation, and underwent emergency surgery. We identified perforation of the distal ileum by fecal impaction and severe intra-abdominal contamination. We performed subtotal colectomy and ileosigmoid anastomosis, but did not remove the prosthetic mesh because the previous TAPP site was intact. The patient recovered well postoperatively. Contaminated or dirty surgery immediately after the hernia mesh surgery could be safely performed.

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Cite the article

Choi JB, Lee BC, Han JH, Noh BG, Park JK, Park YM, et al. Bowel Perforation Surgery due to Fecal Impaction Immediately after Hernia Mesh Surgery (TAPP). Clin Surg. 2022; 7: 3591..