LATE MESH REJECTION AS A COMPLICATION TO TRANSABDOMINAL PREPERITONEALLAPAROSCOPIC HERNIA REPAIR

Background: The use of a mesh in transabdominal preperitoneal laparosc opic hernia repair (TAPP) caries the risk of late rejection or infecti ous complications related to the mesh. The aim of this study was to de scribe the extent of these complications. Methods: We performed a retr ospective study of 500 consecutive patients with TAPP for inguinal her nia. Results: Late mesh rejection was observed in three patients at 5- 19 months after surgery. The mesh was removed via a suprapubic midline incision. At 3-4 month's follow-up, none of the patients had recurren ce of the hernia, even though no hernia repair had been done. Conclusi on: Late mesh rejection is a potential complication of TAPP and has to be considered when choosing the surgical method of hernia repair.