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A rare complication following laparoscopic TEP repair: case report and discussion of the literature

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Abstract

Transabdominal pre-peritoneal and totally extra-preperitoneal (TEP) are common laparoscopic techniques used to repair inguinal hernias. With better equipment and techniques for creation of pneumoperitoneum serious complications are now infrequent. However, complications from these techniques that are beyond the control of the surgeon do occur. This report details a rare complication related to infection. It is the first such documented complication of TEP hernia repair. There follows a short literature review of rare complications of laparoscopic hernia repair. Surgeons should familiarize themselves with these potential pitfalls for a number of reasons including, counseling when obtaining consent and heightened awareness for infrequent complications during postoperative follow-up.

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References

  1. Fujita F, Lahmann B, Otsuka K, Lyass S, Hiatt JR, Phillips EH (2004) Quantification of pain and satisfaction following laparoscopic and open hernia repair. Arch Surg 139:596–600

    Article  PubMed  Google Scholar 

  2. Tamme C, Scheidbach H, Hampe C, Schneider C, Kockerling F (2003) Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc 17:190–195

    Article  PubMed  CAS  Google Scholar 

  3. Angelescu N, Burcos T, Jitea N, Voiculescu S, Mircea N, Cristian D, Dimitriu C (1995) Preliminary results after the transperitoneal laparoscopic treatment of the first 50 inguinal hernias. Chirurgia (Bucur) 44:1–5

    CAS  Google Scholar 

  4. Scheuerlein H, Schiller A, Schneider C, Scheidbach H, Tamme C, Kockerling F (2003) Totally extraperitoneal repair of recurrent inguinal hernia. Surg Endosc 17:1072–1076

    Article  PubMed  CAS  Google Scholar 

  5. Liem MS, van Duyn EB, van der Graaf Y, van Vroonhoven TJ (2003) Recurrences after conventional anterior and laparoscopic inguinal hernia repair: a randomized comparison. Ann Surg 237:136–141

    Article  PubMed  Google Scholar 

  6. Sailors DM, Layman TS, Burns RP, Chandler KE, Russell WL (1993) Laparoscopic hernia repair: a preliminary report. Am Surg 59:85–89

    PubMed  CAS  Google Scholar 

  7. Wegener ME, Chung D, Crans C, Chung D (1993) Small bowel obstruction secondary to incarcerated Richter’s hernia from laparoscopic hernia repair. J Laparoendosc Surg 3:173–176

    PubMed  CAS  Google Scholar 

  8. Paget GW (1994) Laparoscopic inguinal herniorrhaphy. A personal audit of 222 hernia repairs. Med J Aust 161:249–253

    PubMed  CAS  Google Scholar 

  9. Azurin DJ, Schuricht AL, Stoldt HS, Kirkland ML, Paskin DL, Bar AH (1995) Small bowel obstruction following endoscopic extraperitoneal-preperitoneal herniorrhaphy. J Laparoendosc Surg 5:263–266

    PubMed  CAS  Google Scholar 

  10. Havlik R, Kral V (1995) Prospective comparison of laparoscopic surgery of inguinal hernia using pre-peritoneal surgical mesh implantation with the classic open approach. Rozhl Chir 74:419–421

    PubMed  CAS  Google Scholar 

  11. Klopfenstein CE, Gaggero G, Mamie C, Morel P, Forster A (1995) Laparoscopic extraperitoneal inguinal hernia repair complicated by subcutaneous emphysema. Can J Anaesth 42:523–525

    Article  PubMed  CAS  Google Scholar 

  12. Schurz JW, Arregui ME, Hammond JC (1995) Open vs laparoscopic hernia repair. Analysis of costs, charges, and outcomes. Surg Endosc 9:1311–1317

    PubMed  CAS  Google Scholar 

  13. Giuly J, Francois GF, Legeron P (1996) Inguinal hernia under laparoscopy. Pubic osteitis. J Chir (Paris) 133:93–96

    CAS  Google Scholar 

  14. Baladas HG, Ng BK (1997) Sclerosing lipogranuloma of the scrotum following a laparoscopic herniorraphy and varicocelectomy—a case report. Ann Acad Med Singapore 26:238–240

    PubMed  CAS  Google Scholar 

  15. Rodda DJ, Otto GM, Pese KE (1997) Intestinal obstruction following transabdominal preperitoneal laparoscopic inguinal hernia repair. Aust N Z J Surg 67:142–143

    CAS  Google Scholar 

  16. Eugene JR, Gashti M, Curras EB, Schwartz K, Joseph E (1998) Regarding “Small bowel obstruction as a complication of laparoscopic extraperitoneal inguinal hernia repair”. J Laparoendosc Adv Surg Tech A 8:61–62

    Article  PubMed  CAS  Google Scholar 

  17. Goodwin AT, Ghilchik M (1998) Acute strangulation of the appendix within a laparoscopic port-site hernia. Eur J Surg 164:151–152

    Article  PubMed  CAS  Google Scholar 

  18. Pennekamp W, Barbera L (1998) Intrafascial hematoma of the rectus abdominis muscle as a complication after laparoscopic operations. Aktuelle Radiol 8:43–45

    PubMed  CAS  Google Scholar 

  19. Kazantsev GB, Balli JE, Franklin ME (2000) Laparoscopic management of enterocutaneous fistula. Surg Endosc 14:87

    PubMed  CAS  Google Scholar 

  20. Ridings P, Evans DS (2000) The transabdominal pre-peritoneal (TAPP) inguinal hernia repair: a trip along the learning curve. J R Coll Surg Edinb 45:29–32

    PubMed  CAS  Google Scholar 

  21. Michel P, Wullstein C, Hopt UT (2001) Pyoderma gangrenosum after TAPP hernioplasty. A rare differential necrotizing wound infection diagnosis. Chirurg 72:1501–1503

    Article  PubMed  CAS  Google Scholar 

  22. Mincheff T, Bannister B, Zubel P (2002) Focal testicular infarction from laparoscopic inguinal hernia repair. JSLS 6:211–213

    PubMed  Google Scholar 

  23. Rieger N, Brundell S (2002) Colovesical fistula secondary to laparoscopic transabdominal preperitoneal polypropylene (TAPP) mesh hernioplasty. Surg Endosc 16:218–219

    Article  PubMed  CAS  Google Scholar 

  24. Lau H (2003) Preperitoneal collection after endoscopic extraperitoneal inguinal hernioplasty in a patient with malignant ascites. JSLS 7:173–175

    PubMed  Google Scholar 

  25. Bringman S, Ramel S, Heikkinen TJ, Englund T, Westman B, Anderberg B (2003) Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg 237(1):142–147

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Princess Alexandra Hospital, Hamstel Road, Harlow, CM20 1QX, UK

    D. Singh-Ranger, T. Taneja, P. Sroden & J. Peters

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  1. D. Singh-Ranger
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  2. T. Taneja
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  3. P. Sroden
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  4. J. Peters
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Correspondence to D. Singh-Ranger.

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Singh-Ranger, D., Taneja, T., Sroden, P. et al. A rare complication following laparoscopic TEP repair: case report and discussion of the literature. Hernia 11, 453–456 (2007). https://doi.org/10.1007/s10029-007-0206-7

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  • DOI: https://doi.org/10.1007/s10029-007-0206-7

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