Complications of Laparoscopic Procedures of Inguinal Hernias , Diagnosed on Colonoscopy

Authors: Z. Beneš;  P. Herdegen 1;  G. Puškárová;  Z. Antoš
Authors‘ workplace: 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: Rozhl. Chir., 2007, roč. 86, č. 8, s. 420-422.
Category: Monothematic special - Original


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.

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


1. Colak, T., Akca, T., Kanik, A., Aydin, S. Randomized clinical trial comparing laparoscopic totally extraperitoneal approach with open mesh repair in inguinal hemia. Surg. Laparosc. Endosc. Percutan. Tech., 2003, Jun; 13(3): 191–195.

2. Crespi, G., Giannetta, E., Mariani, F., Floris, F., Pretolesi, F., Marino, P. Imagin of early postoperative complications after polypropylene mesh repair of inguinal hemia. Radiol. Med. (Torino), 2004 Jul-Aug; 108 (1-2): 107–115. English, Italian.

3. Czudek, S. Laparoskopická plastika tříselné kýly. Rozhl. Chir., 1997, roč. 76, č. 2, s. 90–96.

4. Fei, L., Filippone, G., Trapani, V., Cuttitta, D., Iannuzzi, E., Iannuzzi, M., Galizia, G., Moccia, F., Signoriello, G. Feasibility of primary inguinal hernia repair with a new mesh. World J. Surg., 2006 Jun; 30(6): 1055–1062.

5. Ferrone, R., Scarone, P. C., Natalini, G. Late complication of open inguinal hernia repair: small bowel obstruction caused by intraperitoneal mesh migration. Hernia, 2003 Sep; 7(3): 161–162. Epub 2003 Apr. 24.

6. Fujita, F., Lahmann, B., Otsuka, K., Lyass, S., Hiatt, J. R., Philips, E. H. Quantification of pain and open hemia repair. Arch. Surg., 2004 Jun, 139(6): 596–600; discussion 600–602.

7. Chastan, P. Pension-free inguinal hernia repair: a retrospective study of 3000 cases in one center. Int. Surg., 2005 Jan-Mar; 90(1): 48–52.

8. Koninger, J., Redecke, J., Butters, M. Chronic pain after hemia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbecks Arch. Surg., 2004 Oct; 389 (5): 361–365. Epub 2004 Jul. 9.

9. Reyes-Devesa, H. E., Martinez-Dejesus, F., Martinez-Mier, G., Vinas-Dozal, J. C. A new open anterior pension-free onlay patch technique for inguinofemoral hernia repair. Am. J. Surg., 2005 Jul; 190 (1): 118–122.

10. Smietanski, M., Lukasiewicz, J., Nigra, J., Lukianski, M., Witkowski, P., Sledzinski, Z. Factors influencing surgeons choice of method for hernia repair technique. Hernia, 2005 Mar; 9 (1): 42–45. Epub 2004 Sep. 10.

11. Zhou, J. P., Zhang, L., Liu, Q. Hernioplasty with bilayer polypropylene mesh: a new tension-free technique. Hernia, 2006 Oct; 10 (5): 385–388. Epub 2006 Jul. 12.

Surgery Orthopaedics Trauma surgery
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account