Necrotizing appendicitis after transabdominal preperitoneal (TAPP) inguinal hernia

Abstract

Inguinal hernia repair is one of the most common surgical procedures in general surgery. In the treatment of inguinal hernia, the transabdominal preperitoneal (TAPP) laparoscopic approach appears to be a suitable alternative to open inguinal hernia repair, provided that it is performed by a classic experienced surgeon. Although it has many advantages over open inguinal hernia repair, laparoscopic surgery has complications. Laparoscopic appendectomy was performed in a patient who had undergone bilateral inguinal hernia repair 4 months earlier due to intermittent sub-ileus complaints, which resulted from the development of clinical appendicitis during general surgery for clinical sub-ileus; during laparoscopic exploration, necrotic distal part of the appendix cleaved into the mesh. Although closure of the peritoneum with tacker in TAPP hernioplasty saves time, it requires much attention because incomplete closure may cause cleaving of intra-abdominal organs into the mesh.