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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 6, No. 1, 2010, pp. 19-21
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Bioline Code: ma10006
Full paper language: English
Document type: Case Report
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 6, No. 1, 2010, pp. 19-21
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Laparoscopic appendicectomy for suspected mesh-induced appendicitis after laparoscopic transabdominal preperitoneal polypropylene mesh inguinal herniorraphy
Jennings, Jason M. & Ng, Philip C.H.
Abstract
Laparoscopic inguinal herniorraphy via a transabdominal preperitoneal (TAPP) approach using Polypropylene Mesh (Mesh) and staples is an accepted technique. Mesh induces a localised inflammatory response that may extend to, and involve, adjacent abdominal and pelvic viscera such as the appendix. We present an interesting case of suspected Mesh-induced appendicitis treated successfully with laparoscopic appendicectomy, without Mesh removal, in an elderly gentleman who presented with symptoms and signs of acute appendicitis 18 months after laparoscopic inguinal hernia repair. Possible mechanisms for Mesh-induced appendicitis are briefly discussed.
Keywords
Appendicectomy, appendicitis, inguinal herniorraphy, laparoscopy, mesh, polypropylene
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© Copyright 2010 Journal of Minimal Access Surgery. Alternative site location: http://www.journalofmas.com/
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