Dr. Mahesh Channappa Podcast

Mesh infection post laparoscopic inguinal hernia repair is an uncommon complication. This increases patient morbidity and overall cost of a relatively low risk procedure. In this video we sought to highlight the possible relationship between mesh infection and its presentation 

In this video we represent the problem of mesh infection in an middle aged male who presented to me after 8 month after undergoing an elective bilateral TEP for bilateral direct inguinal hernia ,he developed chronic bilateral mesh infection and was managed by the primary surgeon by antibiotics for several times in vain. He presented with fever and pain in both groins with abdominal wall edema. A CECT abdomen and pelvis revealed two meshes floating in a pool of pus with with omental adhesions. He was subjected for a diagnostic laparoscopy and the meshes were removed laparoscopically post the procedure patient is absolutely well with no recurrence of hernia even after 1 year 3 months Chronic mesh infection following hernia repair mandates removal of the infected mesh, which rarely results in hernia recurrence. 

Associated advantages of using mesh to repair inguinal hernias are numerous and it is a great asset in modern day surgery. The choice of the “right” mesh and meticulous aseptic technique and keeping the patients in the follow up for a long term helps as it is reported that mesh infection can happen in any period from the time it is used in an individual.