Laparoscopic plug removal for femoral nerve XXXX after mesh _ plug hernioplasty.

@entity1 @entity16 @entity5450 @entity281 @entity158 @entity547 @entity169 @entity1118 @entity9
BACKGROUND: Inguinal hernias account for 75% of abdominal wall hernias, with a lifetime risk of 27% in @entity1 and 3% in @entity1 . Major complications are recurrence, @entity1118 , and @entity281 , but their frequency is low. Few studies have reported a calcified mesh causing @entity16 by chronic compression of the femoral nerve after mesh _ plug @entity169 . This is the first report of laparoscopic plug removal for femoral colic due to femoral nerve irritation cause by a calcified plug after mesh _ plug @entity169 . CASE PRESENTATION: In July 2013, a 53-year-old @entity1 presented to our hospital with a chief complaint of @entity158 in the left lower limb while walking. The @entity1 had undergone @entity169 about 10 years earlier and reported no @entity1118 after the operation. Physical examination revealed a @entity158 exacerbated by left thigh movement, especially during flexion, but the @entity1 was @entity158 -free at rest and had no sensory loss. Axial computed tomography and magnetic resonance imaging showed that the inward-projecting plug was extremely close to the femoral nerve. Because of the radicular symptoms and the absence of orthopedic and @entity5450 , we strongly suspected that the @entity9 was associated with the previous @entity547 operation and advised exploratory laparotomy, which revealed the plug bulging inward into the abdominal cavity. Moreover, the tip of the plug was firmly calcified and compressing the femoral nerve, which lay just beneath the plug, especially during hip flexion. We explanted the plug and his @entity158 resolved after the operation. The @entity1 remains @entity158 free after 20 months of follow up. CONCLUSION: In this study, laparoscopic hernioplasty proved useful for plug removal because laparoscopic instruments can easily grasp perilesional tissue, and laparoscopic approach has the benefit of isolating the plug for removal while preserving the onlay patch, and helpful for restoring peritoneal defects. Laparoscopic plug removal effectively resolved @entity158 in the left thigh due to compression of the femoral nerve by a calcified plug.
