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Laparoscopic removal of mesh migrating into the sigmoid colon after totally extraperitoneal (TEP) laparoscopic inguinal hernia repair with positive faecal occult blood test
  1. Sujin Gang1,
  2. Min Jung Kim2,3,
  3. Ji Won Park2,3 and
  4. Seung-Bum Ryoo3,4
  1. 1Department of Surgery, Seoul National University Hospital, Seoul, Korea (the Republic of)
  2. 2Department of Surgery, Seoul National University College of Medicine, Seoul, Korea (the Republic of)
  3. 3Seoul National University Cancer Research Institute, Seoul, Korea (the Republic of)
  4. 4Seoul National University College of Medicine, Seoul, Korea (the Republic of)
  1. Correspondence to Professor Min Jung Kim; surgeon.mjkim{at}gmail.com

Abstract

A 76-year-old man was referred to our clinic after a foreign body seen in his sigmoid colon during a colonoscopy. He had undergone three operations for a left inguinal hernia within the previous 8 years, and the first procedure was a laparoscopic totally extraperitoneal approach. Four years later, removal of migrated and infected mesh was conducted by open approach. He then had a positive stool occult blood test for routine check-up 4 years after the remnant mesh removal. An ill-defined lesion was identified on colonoscopy. CT revealed a 2.7 cm diameter enhancing lesion in the sigmoid colon. Laparoscopic sigmoidectomy was performed, and remnant mesh fragment was found in the sigmoid colon and removed. The migrated mesh could not be wholly removed by open abdominal approach and the remnant mesh fragment migrated to sigmoid colon. It suggests the importance of a laparoscopic approach to remove the entire mesh.

  • gastrointestinal surgery
  • general surgery

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Footnotes

  • Contributors SG wrote the whole manuscript and MJK made the idea for this paper. JWP and S-BR advised for improving the idea for the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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