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Case Reports
. 2020 Oct-Dec;16(4):411-414.
doi: 10.4103/jmas.JMAS_122_19.

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty - Report of a case and review of the literature

Maitreyi Patel  1 , Chetan Shenoy  1 , Ganesh Nagarajan  1 , Vinod Chandiramani  1
Affiliations
Case Reports

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty - Report of a case and review of the literature

Maitreyi Patel et al. J Minim Access Surg. 2020 Oct-Dec.

Abstract

Over the past three decades, the practice laparoscopic inguinal hernioplasty has gained momentum. Mesh migration after laparoscopic inguinal hernia repair is an uncommon mesh-related delayed complication which is more common after transabdominal preperitoneal repair as compared to total extraperitoneal (TEP) repair. We report the first case of mesh migration into the sigmoid colon after TEP presenting 10 years after surgery. A 72-year-old male presented with left iliac fossa pain and diffuse lump. His computed tomogram scan showed sigmoid colon adherent to internal oblique at the site of hernia repair with a collection containing air specks and calcification. A colonoscopy revealed mesh within the sigmoid colon. He had to undergo a sigmoidectomy with Hartmann's surgery for the same. Here, we discuss the implicated pathophysiology, management and prevention of mesh migration after laparoscopic inguinal hernioplasty with literature review.

Keywords: Laparoscopic hernia repair; mesh migration; sigmoid colon; sigmoidectomy.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
(a) Computed tomogram image showing sigmoid adhesion to the left internal oblique (down arrow) and calcification (right arrow). (b) Colonoscopic image showing mesh protruding within the sigmoid lumen
Figure 2
Figure 2
(a) Intraoperative image showing sigmoid colon adherent to the mesh (down arrow). (b) Sigmoidectomy specimen with mesh and tacker (up arrow) visible at the site of perforation
See this image and copyright information in PMC

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