Strangulated appendix after transabdominal preperitoneal (tapp) inguinal hernia repair

Levi David Procter, Andrew Bernard, Paul Kearney

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Introduction: Laparoscopic inguinal hernia repair can be performed totally extraperitoneal or transabdominal preperitoneal (TAPP). Both repairs are associated with mesh-related complications. This is the first report of a mesh-strangulated appendix, with subsequent necrosis and perforation, after TAPP inguinal hernia repair. CASE: A 48-year-old male, 10-years status post-bilateral TAPP inguinal hernia repair presented with acute right groin bulge, pain, nausea, emesis, and fever. He was found to have a large, tender, nonreducible right groin mass. He was taken to the operating room for right groin exploration and found to have gross purulent material but no evidence of a recurrent hernia. A laparoscope was inserted into the abdomen where the appendix was found strangulated between the mesh and the transversalis fascia. Conclusions: Mesh-related complications after TAPP inguinal hernia repair are rare. This is the first report of a strangulated appendix secondary to mesh entrapment after TAPP repair.

Original languageEnglish
Pages (from-to)e42-e43
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number1
StatePublished - Feb 2010


  • Appendicitis
  • Hernia
  • Inguinal
  • Laparoscopic
  • Necrosis
  • Strangulated appendix
  • TAPP

ASJC Scopus subject areas

  • Surgery


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