Halis BAĞ, Haldun KAR, Necat CİN, Emir ÇAPKINOĞLU, Yasin PEKER, Evren DURAK, Fatma TATAR

Transabdominal Pre-Peritoneal (TAPP) Tekniği ile Inkarsere Inguinal Herni Tamiri Yapılan Hastada Mesh Enfeksiyonunu Takiben Gelişen Sigmoid Kolon Fistülü

Elektif inguinal herni tamirlerinde laparoskopik yaklaşım cerrahi pratikde kabul görmüş ve yaygın olarak kullanılan bir yöntem olmasına karşın, inkarsere inguinal herni tamirinde bu tekniğin kullanımı halen tartışmalıdır. Bu teknikle yapılan herni tamirlerinden sonra mesh enflamasyonu ve neden olduğu inatçı yara yeri enfeksiyonları ile meshin çevre visseral organlarda sebep olduğu erozyon ve migrasyonu nadir görülen komplikasyonlardır. Yazımızda bu iki nadir komplikasyonun birarada olduğu transabdominal pre-peritoneal tekniği ile laparoskopik herni tamiri yapılan, inkarsere inguinal herni tanılı hastayı literatür eşliğinde sunacağız.

Anahtar Kelimeler:

TAPP komplikasyon, mesh migrasyonu, inkarsere inguinal herni

Sigmoid Colon Fistula due to Mesh Infection in a Patient Operated for Incarcerated Groin Hernia with Transabdominal Pre-Peritoneal (TAPP) Technique

Although laparoscopic surgery is an accepted procedure in elective inguinal hernia repair, it is controversial for incarcerated hernias. Persistent infections due to inflammation of mesh; visceral tissue erosion and migration of mesh are rare but possible complications. In this manuscript, we report a case of laparoscopic hernia repair with transabdominal preperitoneal technique complicated with both these complications and discuss with literature.

Keywords:

TAPP complications, mesh migration, incarcerated groin hernia,

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