{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:36:19Z","timestamp":1793262979788,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Mesh infections after laparoscopic inguinal hernia repair are rare, particularly those caused by\n                      <jats:italic toggle=\"yes\">Mycobacterium abscessus<\/jats:italic>\n                      , a multi-drug-resistant nontuberculous mycobacterium.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>\n                      We describe two cases of\n                      <jats:italic toggle=\"yes\">M. abscessus<\/jats:italic>\n                      infection following total extraperitoneal inguinal hernia repairs. Both patients developed delayed groin pain and fluid collections. Cultures confirmed\n                      <jats:italic toggle=\"yes\">M. abscessus<\/jats:italic>\n                      , requiring mesh explanation and prolonged multi-drug antibiotic therapy. Despite complications, both achieved infection resolution after approximately 12 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Investigation suggested contamination of laparoscopic instrument sheaths as the infection source, prompting changes in sterilization protocols. The pathogen\u2019s biofilm formation and resistance to sterilization contributed to persistence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      Early recognition, mesh removal, and multi-disciplinary care are essential for successful management of\n                      <jats:italic toggle=\"yes\">M. abscessus<\/jats:italic>\n                      mesh infections. Strict adherence to sterilization protocols is critical in preventing such rare but serious complications.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10962964261485064","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:42:50Z","timestamp":1788154970000},"page":"694-696","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Two Rare Cases of Mesh Infection Due to\n                    <i>Mycobacterium abscessus<\/i>\n                    Following Laparoscopic Inguinal Hernia Repair"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6546-6058","authenticated-orcid":false,"given":"Alexis A.","family":"Heilman","sequence":"first","affiliation":[{"name":"Department of General Surgery, Riverside Methodist Hospital, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wihan","family":"Du Plessis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Riverside Methodist Hospital, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward P.","family":"Dominguez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Riverside Methodist Hospital, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Leff","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Riverside Methodist Hospital, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000487278"},{"issue":"9","key":"e_1_3_3_3_1","first-page":"CD011517","article-title":"Mesh versus non-mesh for inguinal and femoral hernia repair","volume":"9","author":"Lockhart K","year":"2018","unstructured":"2.Lockhart K, , Dunn D, , Teo S, et al. Mesh versus non-mesh for inguinal and femoral hernia repair. Cochrane Database Syst Rev 2018;9(9):CD011517.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000034554"},{"issue":"11","key":"e_1_3_3_5_1","first-page":"e19628","article-title":"Inguinal hernia mesh repair: The factors to consider when deciding between open versus laparoscopic repair","volume":"13","author":"Gudigopuram SVR","year":"2021","unstructured":"4.Gudigopuram SVR, , Raguthu CC, , Gajjela H, et al. Inguinal hernia mesh repair: The factors to consider when deciding between open versus laparoscopic repair. Cureus 2021;13(11):e19628.","journal-title":"Cureus"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1030-1"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1266-5"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004871"},{"issue":"9","key":"e_1_3_3_9_1","first-page":"OD01","article-title":"Mycobacterium fortuitum infection at umbilical hernioplasty site","volume":"11","author":"Chogtu B","year":"2017","unstructured":"8.Chogtu B, , Malik DV, , Magazine R, et al. Mycobacterium fortuitum infection at umbilical hernioplasty site. J Clin Diagn Res 2017;11(9):OD01\u2013OD02.","journal-title":"J Clin Diagn Res"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.6.2858-2860.2004"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.3201\/2109.141634"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-015-1304-x"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2672.2009.04161.x"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tube.2022.102168"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkr578"}],"container-title":["Surgical Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10962964261485064","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10962964261485064","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10962964261485064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:16:48Z","timestamp":1793261808000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10962964261485064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,30]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,12,1]]}},"alternative-id":["10.1177\/10962964261485064"],"URL":"https:\/\/doi.org\/10.1177\/10962964261485064","relation":{},"ISSN":["1096-2964","1557-8674"],"issn-type":[{"value":"1096-2964","type":"print"},{"value":"1557-8674","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,30]]}}}