Abstract
Background
There are only a few reports of severe mesh-related complications, and major bowel complications after totally extraperitoneal (TEP) hernioplasty are also rare.
Case report
A 75-year-old male patient, who had undergone TEP hernioplasty for a left inguinal hernia 2 months previously, presented with a left inguinal swelling that was found to be due to sigmoid colon-related mesh complications following TEP hernioplasty.
Conclusions
Infection is an accepted complication of hernia operation; however, it may be more serious following laparoscopic techniques. Successful TEP hernioplasty requires adequate dissection and complete exposure and coverage of all potential sites that cause inguinal hernia. If infection and suppuration are resistant to conservative methods or occur in the early postoperative period, aggressive imaging study and treatment provides definitive treatment and reduces the burden of complications.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10029-010-0700-1/MediaObjects/10029_2010_700_Fig1_HTML.jpg)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10029-010-0700-1/MediaObjects/10029_2010_700_Fig2_HTML.jpg)
References
Singh-Ranger D, Taneja T, Sroden P, Peters J (2007) A rare complication following laparoscopic TEP repair: case report and discussion of the literature. Hernia 11:453–456
Tamme C, Scheidbach H, Hampe C, Schneider C, Kockerling F (2003) Totally extraperitoneal endoscopic inguinal hernia repair (TEP)—results of 5, 203 hernia repairs. Surg Endosc 17:190–195
Chowbey PK, Bagchi N, Goel A, Sharma A, Khullar R, Soni V, Baijal M (2006) Mesh migration into the bladder after TEP repair: a rare case report. Surg Laparosc Endosc Percutan Tech 16:52–53
Tamam M, Yavuz HS, Hacimahmutoglu S, Mulazimoglu M, Kacar T, Ozpacaci T (2009) Direct radionuclide cystography imaging in colovesical fistula due to inguinal hernia operation complication. Ann Nucl Med 23:693–696
Hamouda A, Kennedy J, Grant N, Nigam A, Karanjia N (2010) Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg? Hernia 14:317–319
Spier LN, Lazzaro RS, Procaccino A, Geiss A (1993) Entrapment of small bowel after laparoscopic herniorrhaphy. Surg Endosc 7:535–536
Eugene JR, Gashti M, Curras EB, Schwartz K, Edwards J (1998) Small bowel obstruction as a complication of laparoscopic extraperitoneal inguinal hernia repair. J Am Osteopath Assoc 98:510–511
Miller K, Junger W (1997) Ileocutaneous fistula formation following laparoscopic polypropylene mesh hernia repair. Surg Endosc 11:772–773
Lange B, Langer C, Markus PM, Becker H (2003) Mesh penetration of the sigmoid colon following a transabdominal preperitoneal hernia repair. Surg Endosc 17:157
McDonald D, Chung D (1997) Large bowel obstruction: a postoperative complication after laparoscopic bilateral inguinal hernia repair. J Laparoendosc Adv Surg Tech A 7:187–189
Schwab JR, Beaird DA, Ramshaw BJ, Franklin JS, Duncan TD, Wilson RA, Miller J, Mason EM (2002) After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair? Surg Endosc 16:1201–1206
Langeveld HR, van’t Riet M, Weidema WF, Stassen LP, Steyerberg EW, Lange J, Bonjer HJ, Jeekel J (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg 251:819–824
Kapiris SA, Brough WA, Royston CM, O’Boyle C, Sedman PC (2001) Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017 patients. Surg Endosc 15:972–975
Schultz C, Baca I, Gotzen V (2001) Laparoscopic inguinal hernia repair. Surg Endosc 15:582–584
Celik A, Kutun S, Kockar C, Mengi N, Ulucanlar H, Cetin A (2005) Colonoscopic removal of inguinal hernia mesh: report of a case and literature review. J Laparoendosc Adv Surg Tech A 15:408–410
Goswami R, Babor M, Ojo A (2007) Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. J Laparoendosc Adv Surg Tech A 17:669–672
Hamy A, Paineau J, Savigny JL, Vasse N, Visset J (1997) Sigmoid perforation, an exceptional late complication of peritoneal prosthesis for treatment of inguinal hernia. Int Surg 82:307–308
McKay R (2008) Preperitoneal herniation and bowel obstruction post laparoscopic inguinal hernia repair: case report and review of the literature. Hernia 12:535–537
Peach G, Tan LC (2008) Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair. Hernia 12:303–305
Mittak M, Dostalik J (2005) Small bowel perforation as a late complication after laparoscopic hernioplasty. Rozhl Chir 84:539–542
Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, Crafton WB (1997) Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic. Ann Surg 225:422–431
Lange JF, Rooijens PP, Koppert S, Kleinrensink GJ (2002) The preperitoneal tissue dilemma in totally extraperitoneal (TEP) laparoscopic hernia repair: an anatomo-surgical study. Surg Endosc 16:927–930
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Han, HJ., Kim, CY., Choi, SB. et al. Sigmoid colon fistula following totally extraperitoneal hernioplasty: an improper treatment for mesh infection or iatrogenic injury?. Hernia 14, 655–658 (2010). https://doi.org/10.1007/s10029-010-0700-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-010-0700-1