Simultaneous treatment of recurrent inguinal hernia and mesh-related infection with chronic cutaneous fistula

Mesh-related infection

Abstract

One of the most important complications of hernia surgery is mesh-related infection (MRI). In this case report, it is aimed to present the diagnosis and treatment of chronic MRI in a patient with recurrent inguinal hernia. A 49 year-old-male was admitted with right inguinal pain, bulging, and purulent discharge from the skin for about one year. On physical examination, there was an external fistula orifice in the right groin and there was swelling evident with coughing. On CT scan, there was a fistula and inflamed area between upper side of the mesh and skin. During surgery, all infected areas and fistula tract including the mesh were removed with an incision made to include the scar tissue. Bassini repair was performed on the patient who had a direct hernia without an indirect hernia. The patient was discharged on the postoperative day 2 without complications.