Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

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J.M. Miller et al.
Fig. 19.8. Axial MR T1-weighted images of laparoscopic mesh ( black arrows )
placed with a transabdominal preperitoneal (TAPP) approach.
Fig. 19.9. Pair of axial MR T1-weighted images show an example of abnormal
laparoscopic mesh ( black arrow ), with areas of irregular central contour ( white
arrow ) and numerous tacks. The margins of the mesh are curled and folded
( curved white arrows ). The bladder is distorted ( curved black arrow ), suggestive
of local mass effect. Significant adhesions were present at surgical exploration.
that are temporally related to urination or defecation. It is important to
identify subtle findings on images related to these repairs, such as bladder
asymmetry or its adhesion to a site or segment of the repair (Fig.
19.9 ). Regardless of approach, attachment of mesh to the pubic tubercle
by tack or staple may result in periosteal reaction, another source of
chronic pain.
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