Complications of Laparoscopic Procedures of Inguinal Hernias , Diagnosed on Colonoscopy

Česká verzia

Authors: Z. Beneš; P. Herdegen ¹; G. Puškárová; Z. Antoš
Authors place of work: II. interní klinika, Fakultní Thomayerova nemocnice Praha, přednosta: MUDr. Z. Beneš, CSc. ; Chirurgická klinika 1. LF a FTN Praha, přednosta: doc. MUDr. V. Visokai, Ph. D. ¹
Published in the journal: Rozhl. Chir., 2007, roč. 86, č. 8, s. 420-422.
Category: Monothematic special - Original

Summary

Aim of the study:
The aim was to assess significance of colonoscopy in detection of inguinal hernias – dislocation of the mesh into the lumen of the large intestine, following inguinal hernia laparoscopic procedures (TAPP).

Material, Methodology and Results:
From 01-01-2004 to 31-12-2006, the authors performed 3 colonoscopies in 3 subjects after TAPP inguinal hernia laparoscopic procedures. The subjects included 2 males and 1 female. 4 to 9 months after the laparoscopic procedure, colonoscopy was performed, which was indicated for the lower abdominal pain and enterorrhagia. However, no signs of a relapsing hernia were recorded. Endoscopy detected irritation and bleeding of the sigmoid, and a mesh, which passed through the intestinal wall was detected in the sigmoid lumen. The subjects were then reoperated and the mesh was removed. In one subject, resection of the sigmoid had to be performed as well. The subject recovered.

Conclusion:
The postoperative complications of the TAPP procedure included dislocation of the mesh into the intestinal lumen. Detection of the mesh dislocation into the lumen of the large intestine facilitates indication for surgical management.

Key words:
inguinal hernia – laparoscopic procedure – complications – endoscopic diagnostics

Zdroje

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