CHRONIC INGUINAL PAIN FOLLOWING TAPP - A CASE OF MESH SHRINKAGE

The implantation of a mesh is an essential step in laparoscopic inguin al hernia surgery. We present the case of a 22-year-old man who develo ped an unspecific and refractory syndrome of inguinal pain after a TAP P procedure for a primary inguinal hernia. Repeated reoperation for re movement of clips and nerve transection were unsuccessful. By a transi nguinal approach, 18 months after the first operation we removed a pre peritoneal Prolene mesh which had shrunk and folded to 30 % of its ori ginal size. The problem of biocompatibility of meshes currently used i n inguinal hernia surgery is discussed.