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Laparoscopic removal of infected right lower quadrant mesh

Emanuele Lo Menzo, MD, PhD, Rama Ganga, MD, Samuel Szomstein, MD, Raul Rosenthal, MD. Cleveland Clinic Florida

This video demonstrates the laparoscopic removal of an infected biologic mesh.

The patient is a 44-year-old female that presented to the ED with abdominal pain, paucity of stools and flatus. Nausea vomits and chills. History of trocar site repair 2 weeks before. Ct scan showed a large fluid collection.  The abscess was drained with an 18 gauge trocar followed by an Amplatz dilation with good evolution and was discharged 2 days after. One month after discharge she returned with similar symptomatology so a CT scan was repeated and an 11 cm collection was found deep to the right anterolateral abdomen.  CT guided drainage was performed but patients persisted with purulent drainage. Surgery was planned with a laparoscopic approach. Dense adherences were taken down finding seropurulent drainage, the biologic mesh was localized and removed and the infected area was thoroughly irrigated. A drain was left in place. The patient was discharged on POD 3 with excellent recovery. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87458

Program Number: V205

Presentation Session: Wednesday Video Loop (Non CME)

Presentation Type: VideoLoop

32

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