The Management of Mesh Infection After Laparoscopic Inguinal Hernia Repair.

Abstract

We present our experience in managing mesh infection after laparoscopic inguinal hernia repair. We analyzed 19 patients with extensive mesh infection treated between 2012 and 2017 via laparoscopic mesh excision after preoperative workup. After mesh removal and insertion of a drain into the preperitoneal space, the peritoneal flap was closed with 3/0 absorbable consecutive suture. The operative course in all patients was uneventful. Sigmoidectomy for a fistula was required in 1 patient. Two patients required a second laparoscopic surgery for infection on the contralateral side and residual mesh around the pubic bone. In total, 3 cases of recurrence were identified during follow-up. Laparoscopic mesh excision is an effective and minimally invasive method for the management of infection that also avoids unnecessary disruption of healthy layers of the abdominal wall.