Sigmoid colon fistula following totally extraperitoneal hernioplasty

An improper treatment for mesh infection or iatrogenic injury?

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)655-658
Number of pages4
JournalHernia
Volume14
Issue number6
DOIs
Publication statusPublished - 2010 Dec 1

Fingerprint

Herniorrhaphy
Sigmoid Colon
Fistula
Inguinal Hernia
Wounds and Injuries
Infection
Suppuration
Groin
Therapeutics
Hernia
Postoperative Period
Dissection

Keywords

  • Complication
  • Fistula
  • Sigmoid colon
  • Totally extraperitoneal

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Sigmoid colon fistula following totally extraperitoneal hernioplasty: An improper treatment for mesh infection or iatrogenic injury?",
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.",
keywords = "Complication, Fistula, Sigmoid colon, Totally extraperitoneal",
author = "Han, {Hyung Joon} and Kim, {C. Y.} and Sae-Byeol Choi and Jung-Myun Kwak and Lee, {Sun Il}",
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TY - JOUR

T1 - Sigmoid colon fistula following totally extraperitoneal hernioplasty

T2 - An improper treatment for mesh infection or iatrogenic injury?

AU - Han, Hyung Joon

AU - Kim, C. Y.

AU - Choi, Sae-Byeol

AU - Kwak, Jung-Myun

AU - Lee, Sun Il

PY - 2010/12/1

Y1 - 2010/12/1

N2 - 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.

AB - 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.

KW - Complication

KW - Fistula

KW - Sigmoid colon

KW - Totally extraperitoneal

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