An Unusual Finding in the Follow-Up of a Transabdominal Pre-Peritoneal (TAPP) Implanted Mesh for Inguinal Hernia

Abstract

Background: Abnormalities around titanium stapled sites are not well described in the literature. Existence

of staple granulomas or neoplasms on titanium stapled sites used in TAPP procedures is unknown.

Case: We report a case in which differentiation of suspected staple granuloma or neoplasm around a titanium staple,

used to secure the mesh in a TAPP procedure, could not be made other than by pathologic examination.

Conclusion: This case emphasises that although the appearance of the lesion may be suspected for staple granuloma,

the possibility of a malignant neoplasm should always be considered.

Key Words:

• Inguinal hernia
• mesh repair
• granuloma
• titanium staple

Additional information

Notes on contributors

R. Rajaram

R. Rajaram, M.D. Department of General and Abdominal Surgery Imeldaziekenhuis vzw Imeldalaan 9 B-2820 Bonheiden, Belgium E-mail: [email protected]