Enormous abscess growth at abdominal wall three years after laparoscopic herniorrhaphy

摘要: BACKGROUND: The laparoscopic approach reduces the risk of early postoperative infection which ranges from 0.3% to 0.5%. We report first case late abscess formation a mesh after hernia repair. METHODS: A 30-year-old man who had repair by total extraperitoneal 3 years ago. Physical examination was normal except hardness in all lower abdominal quadrant. In laboratory study, WBC: 13.2/mm3 (n: 4–10/mm3). [Cystic mass harmonized with found 15.73 × 12.29 cm size front rectus near psoas muscle at back and pelvic CT.] RESULTS: Percutaneous catheter (Boston Scientific® Sump drainage 12F) settled under local anesthesia. Approximately 2700 cc purulent occured. Acinetobacter lwoffii grown material's culture. Patient responded ciprofloxacin, ceftazidime piperacilin + tazobactam therefore antibiotic therapy been given. Seventy-seven days later, stopped removed. has no complaint for 3.5 years. CONCLUSIONS: TEP is safe easy operation; however, it may be responsible occurring.