Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Hernia
Published in: Hernia 6/2010

01-12-2010 | Case Report

Sigmoid colon fistula following totally extraperitoneal hernioplasty: an improper treatment for mesh infection or iatrogenic injury?

Authors: H.-J. Han, C.-Y. Kim, S.-B. Choi, J.-M. Kwak, S.-I. Lee

Published in: Hernia | Issue 6/2010

Login to get access

Abstract

Background

There are only a few reports of severe mesh-related complications, and major bowel complications after totally extraperitoneal (TEP) hernioplasty are also rare.

Case report

A 75-year-old male patient, who had undergone TEP hernioplasty for a left inguinal hernia 2 months previously, presented with a left inguinal swelling that was found to be due to sigmoid colon-related mesh complications following TEP hernioplasty.

Conclusions

Infection is an accepted complication of hernia operation; however, it may be more serious following laparoscopic techniques. Successful TEP hernioplasty requires adequate dissection and complete exposure and coverage of all potential sites that cause inguinal hernia. If infection and suppuration are resistant to conservative methods or occur in the early postoperative period, aggressive imaging study and treatment provides definitive treatment and reduces the burden of complications.
Literature
1.
Singh-Ranger D, Taneja T, Sroden P, Peters J (2007) A rare complication following laparoscopic TEP repair: case report and discussion of the literature. Hernia 11:453–456CrossRefPubMed
2.
Tamme C, Scheidbach H, Hampe C, Schneider C, Kockerling F (2003) Totally extraperitoneal endoscopic inguinal hernia repair (TEP)—results of 5, 203 hernia repairs. Surg Endosc 17:190–195CrossRefPubMed
3.
Chowbey PK, Bagchi N, Goel A, Sharma A, Khullar R, Soni V, Baijal M (2006) Mesh migration into the bladder after TEP repair: a rare case report. Surg Laparosc Endosc Percutan Tech 16:52–53CrossRefPubMed
4.
Tamam M, Yavuz HS, Hacimahmutoglu S, Mulazimoglu M, Kacar T, Ozpacaci T (2009) Direct radionuclide cystography imaging in colovesical fistula due to inguinal hernia operation complication. Ann Nucl Med 23:693–696CrossRefPubMed
5.
Hamouda A, Kennedy J, Grant N, Nigam A, Karanjia N (2010) Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg? Hernia 14:317–319
6.
Spier LN, Lazzaro RS, Procaccino A, Geiss A (1993) Entrapment of small bowel after laparoscopic herniorrhaphy. Surg Endosc 7:535–536CrossRefPubMed
7.
Eugene JR, Gashti M, Curras EB, Schwartz K, Edwards J (1998) Small bowel obstruction as a complication of laparoscopic extraperitoneal inguinal hernia repair. J Am Osteopath Assoc 98:510–511PubMed
8.
Miller K, Junger W (1997) Ileocutaneous fistula formation following laparoscopic polypropylene mesh hernia repair. Surg Endosc 11:772–773CrossRefPubMed
9.
Lange B, Langer C, Markus PM, Becker H (2003) Mesh penetration of the sigmoid colon following a transabdominal preperitoneal hernia repair. Surg Endosc 17:157CrossRefPubMed
10.
McDonald D, Chung D (1997) Large bowel obstruction: a postoperative complication after laparoscopic bilateral inguinal hernia repair. J Laparoendosc Adv Surg Tech A 7:187–189CrossRefPubMed
11.
Schwab JR, Beaird DA, Ramshaw BJ, Franklin JS, Duncan TD, Wilson RA, Miller J, Mason EM (2002) After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair? Surg Endosc 16:1201–1206CrossRefPubMed
12.
Langeveld HR, van’t Riet M, Weidema WF, Stassen LP, Steyerberg EW, Lange J, Bonjer HJ, Jeekel J (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg 251:819–824CrossRefPubMed
13.
Kapiris SA, Brough WA, Royston CM, O’Boyle C, Sedman PC (2001) Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017 patients. Surg Endosc 15:972–975CrossRefPubMed
14.
15.
Celik A, Kutun S, Kockar C, Mengi N, Ulucanlar H, Cetin A (2005) Colonoscopic removal of inguinal hernia mesh: report of a case and literature review. J Laparoendosc Adv Surg Tech A 15:408–410CrossRefPubMed
16.
Goswami R, Babor M, Ojo A (2007) Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. J Laparoendosc Adv Surg Tech A 17:669–672CrossRefPubMed
17.
Hamy A, Paineau J, Savigny JL, Vasse N, Visset J (1997) Sigmoid perforation, an exceptional late complication of peritoneal prosthesis for treatment of inguinal hernia. Int Surg 82:307–308PubMed
18.
McKay R (2008) Preperitoneal herniation and bowel obstruction post laparoscopic inguinal hernia repair: case report and review of the literature. Hernia 12:535–537CrossRefPubMed
19.
Peach G, Tan LC (2008) Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair. Hernia 12:303–305CrossRefPubMed
20.
Mittak M, Dostalik J (2005) Small bowel perforation as a late complication after laparoscopic hernioplasty. Rozhl Chir 84:539–542PubMed
21.
Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, Crafton WB (1997) Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic. Ann Surg 225:422–431CrossRefPubMed
22.
Lange JF, Rooijens PP, Koppert S, Kleinrensink GJ (2002) The preperitoneal tissue dilemma in totally extraperitoneal (TEP) laparoscopic hernia repair: an anatomo-surgical study. Surg Endosc 16:927–930CrossRefPubMed
Metadata
Title
Sigmoid colon fistula following totally extraperitoneal hernioplasty: an improper treatment for mesh infection or iatrogenic injury?
Authors
H.-J. Han
C.-Y. Kim
S.-B. Choi
J.-M. Kwak
S.-I. Lee
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Hernia / Issue 6/2010
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-010-0700-1

Other articles of this Issue 6/2010

Hernia 6/2010 Go to the issue

Editorial

Laparoscopic versus open groin hernia repair: are we getting closer to specific clinical recommendations?

Original Article

Rives-Stoppa incisional hernia repair combined with laparoscopic separation of abdominal wall components: a novel approach to complex abdominal wall closure

Original Article

Pseudo-recurrence following laparoscopic ventral and incisional hernia repair

Original Article

Different methods of mesh fixation in open retromuscular incisional hernia repair: a comparative study in pigs

Letter to the Editor

Medical error in surgery

Case Report

Laparoscopic repair of traumatic intrapericardial diaphragmatic hernia