Laparoscopic approach for the management of bilateral post-TAPP mesh infection in a patient without risk factors case report

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Cesar David Silvera Zarza
Lorenzo Diosnel Acosta Brunaga
Miguel Ferreira Bogado

Abstract

Although prosthetic infection following a transabdominal preperitoneal approach (TAPP) is uncommon, it presents a significant therapeutic challenge. We present the case of a 47-year-old immunocompetent male patient with no comorbidities who developed bilateral deep mesh infection (DMI) after laparoscopic inguinal hernioplasty. After the failure of conservative management with antibiotics and percutaneous drainage, laparoscopic explantation of both prostheses was performed, with a favorable postoperative course and no recurrence during follow-up. This case illustrates the relevance of bacterial biofilm as a mechanism for the failure of conservative treatment and the role of minimally invasive surgery as a definitive therapeutic option. 

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How to Cite
1.
Silvera Zarza CD, Acosta Brunaga LD, Ferreira Bogado M. Laparoscopic approach for the management of bilateral post-TAPP mesh infection in a patient without risk factors: case report. Rev. Nac. (Itauguá) [Internet]. 2026 Sep. 24 [cited 2026 Sep. 24];18(PC):e-1800204. Available from: https://revistadelnacional.com.py/index.php/inicio/article/view/450
Section
Caso Clínico

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