Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A 73-year-old male diagnosed with bilateral direct inguinal hernia underwent a transabdominal preperitoneal repair (TAPP) using a polypropylene mesh. The intra-operative findings include the following (Figure 1): Mesh was fixed to the lateral border of the rectus abdominis muscle, transverse abdominis fascia, Cooper’s ligament, and pubic tuberosity using an absorbable fixation device. The urinary bladder was not exposed, and the mesh was not in direct contact with it.
The peritoneum was closed using a 3-D absorbable braid thread. No notable complications were observed during closure, and the post-operative course was uneventful. Post-operative findings: 1. 1 st month: The patient experienced pain…
