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Abstract
Background: Mesh migration and erosion into adjacent viscera is a rare complication after laparoscopic inguinal hernia repair. We present a minimally invasive treatment of an asymptomatic case of mesh erosion into the caecum after total extraperitoneal inguinal hernia repair, including an overview of the relevant recent literature.
Methods: A male patient underwent a laparoscopic inguinal hernia repair at the age of 42. Two years after this procedure, a screening colonoscopy revealed erosion of the mesh into the caecum. A laparoscopy was performed with partial resection of the mesh and minimal resection of the involved colon. Results of a systematic review of English PubMed articles on mesh migration and erosion after inguinal hernia repair is presented.
Results: We report a first-time minimally invasive treatment of mesh erosion into the colon. A laparoscopic approach is feasible and provides an excellent exposure. Partial removal of the mesh is suggested in uncomplicated cases to avoid complications associated with complete mesh removal.
Disclosure statement
No potential conflict of interest was reported by the authors.