P-055 LAPAROSCOPIC EXPLANTATION OF GROIN MESH WITH STAPLED EXCISION OF COLO CUTANEOUS FISTULA

Abstract Aim Groin mesh explantation is a challenging situation and multidisciplinary approach at index surgery can avoid long term catastrophic for the patient . Material & Method The history of started decade back with bilateral laparoscopic TAPP, following which he had swelling in both groin area high grade fever He was advised open exploration explant mesh. Post procedure kept on antibiotics few weeks asymptomatic, developed again anti mycobacterial treatment presented four years foul smelling discharge from suprapubic CT Scan sinogram revealed communication sigmoid colon tacker We planned approach, stapled excision sigmoid-cutaneous fistula performed Removal residual under fluoroscopy guidance skin tract .Intra op flexible sigmoidoscopy no lumen compromise Histopathology showed granulomatous inflammation atypical 9 months .He remains uneventful after 2 Conclusion Mesh infection should be avoided utmost care to aseptic precautions. part radiology colonoscopy were key investigations this case One plan complete removal tacker/s safe outcomes