scholarly journals A Rare Complication of Composite Dual Mesh: Migration and Enterocutaneous Fistula Formation

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ozgur Bostanci ◽  
Ufuk Oguz Idiz ◽  
Memet Yazar ◽  
Mehmet Mihmanli
Keyword(s):  
Hernia Repair ◽  
Rare Complication ◽  
Enterocutaneous Fistula ◽  
Late Complication ◽  
Abdominal Hernia ◽  
Fistula Formation ◽  
Mesh Migration ◽  
Foreign Substance ◽  
Umbilical Hernia Repair ◽  
Dual Mesh

Introduction. Mesh is commonly employed for abdominal hernia repair because it ensures a low recurrence rate. However, enterocutaneous fistula due to mesh migration can occur as a very rare, late complication, for which diagnosis is very difficult.Presentation of Case. Here we report the case of an enterocutaneous fistula due to late mesh migration in a mentally retarded, diabetic, 35-year-old male after umbilical hernia repair with composite dual mesh in 2010.Discussion. Mesh is a foreign substance, because of that some of the complications including hematoma, seroma, foreign body reaction, organ damage, infection, mesh rejection, and fistula formation may occur after implantation of the mesh. In the literature, most cases of mesh-associated enterocutaneous fistula due to migration involved polypropylene meshes.Conclusion. This case serves as a reminder of migration of composite dual meshes.

scholarly journals A rare complication of prosthetic mesh repair of a ventral incisional hernia: erosion and enterocutaneous fistula formation

2018 ◽  
Vol 5 (3) ◽  
pp. 1141
Author(s):  
Sridhar Reddy M. ◽  
Naresh M. ◽  
Alok Rath ◽  
Saleem M. A.
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Rare Complication ◽  
Primary Anastomosis ◽  
Enterocutaneous Fistula ◽  
Incisional Hernia Repair ◽  
Fistula Formation ◽  
Mesh Migration ◽  
Ventral Incisional Hernia

Recurrence of hernia has significantly reduced with mesh repair. But mesh is a foreign material which has its own complications like haematoma, infection, sinus formation, mesh migration and erosion. Mesh migration and erosion although rare, is a challenging complication which requires surgical intervention. There are very few such mesh related complications reported in the literature. Authors report a case of mesh erosion resulting in chronic infection and formation of enterocutaneous fistula following incisional hernia repair 5 years after surgery. In this case small bowel segment containing mesh was resected and primary anastomosis was done. Migration of mesh also depends on the nature of mesh (biomaterial) and type of fixation. Although many techniques of hernia repair have been described (open or laparoscopic) care must be taken to fix the mesh to abdominal wall for prevention of delayed complications. Different techniques of repair, types of meshes have been discussed to prevent such complications.

scholarly journals Enterocutaneous fistula secondary to mesh erosion of bowel: a late complication of polypropylene mesh use in ventral hernia repair

2019 ◽  
Vol 6 (11) ◽  
pp. 4163
Author(s):  
Kartik Saxena ◽  
Rijul Saini
Keyword(s):  
Hernia Repair ◽  
Polypropylene Mesh ◽  
Case Reports ◽  
Enterocutaneous Fistula ◽  
Standard Procedure ◽  
Late Complication ◽  
Incisional Hernia Repair ◽  
Mesh Erosion ◽  
Fistula Formation ◽  
Review Of Literature

Use of mesh for reinforcing hernia defects has become standard procedure but it is associated with a few serious complications like bowel erosion and fistula formation. We present a case of a 62 yrs lady with enterocutaneous fistula due to mesh erosion of small bowel, 10 yrs after open incisional hernia repair using polypropylene mesh who had to undergo laparotomy and resection of eroded bowel. A brief review of literature revealed that very few case reports of such fistulas following open incional hernioplasty have been reported and that current research on improving the properties of mesh may reduce such complications in future. 

scholarly journals The Management of Multi-Site, Bleeding, Visceral Artery Pseudoaneurysms, Secondary to Necrotising Pancreatitis

2009 ◽  
Vol 91 (3) ◽  
pp. 255-258 ◽  
Author(s):  
J Skipworth ◽  
D Raptis ◽  
D Brennand ◽  
C Imber ◽  
A Shankar
Keyword(s):  
Acute Pancreatitis ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Enterocutaneous Fistula ◽  
Fistula Formation ◽  
Visceral Artery ◽  
Haemodynamic Instability ◽  
Successful Recovery ◽  
Necrotising Pancreatitis ◽  
Tomographic Angiography

We present the case of a 45-year-old man, who presented to his local casualty department with severe epigastric pain following an alcohol binge, and was subsequently diagnosed with acute pancreatitis. Pancreatic necrosis with multiple collections ensued, necessitating transfer to an intensive care unit (ITU) in a tertiary hepatopancreaticobiliary centre. Initially, the patient appeared to slowly improve and was discharged to the ward, albeit following a prolonged ITU admission. However, during his subsequent recovery, he suffered multiple episodes of haematemesis and melaena associated with haemodynamic instability and requiring repeat admission to the ITU. Computerised tomographic angiography, followed by visceral angiography, was used to confirm the diagnosis of multisite visceral artery pseudoaneurysms, secondary to severe, necrotising pancreatitis. Pseudoaneurysms of the splenic, left colic and gastroduodenal arteries were sequentially, and successfully, radiologically embolised over a period of 9 days. Subsequent sequelae of radiological embolisation included a clinically insignificant splenic infarct, and a left colonic infarction associated with subsequent enterocutaneous fistula formation. The patient made a prolonged, but successful, recovery and was discharged from hospital after 260 days as an in-patient. This case illustrates the rare complication of three separate pseudoaneurysms, secondary to acute pancreatitis, successfully managed radiologically in the same patient. This case also highlights the necessity for multidisciplinary involvement in the management of pseudoaneurysms, an approach that is often most successfully achieved in a tertiary setting.

Comment to: Mesh migration following abdominal hernia repair: a comprehensive review

Hernia ◽  
2019 ◽  
Vol 24 (1) ◽  
pp. 221-222 ◽  
Author(s):  
L. D’Amore ◽  
P. Negro ◽  
F. Ceci ◽  
F. Gossetti
Keyword(s):  
Hernia Repair ◽  
Abdominal Hernia ◽  
Mesh Migration ◽  
Comprehensive Review ◽  
Abdominal Hernia Repair

scholarly journals EP.TH.108A Descriptive Case Series of Incisional Hernia Repair Using Dual Mesh Technique

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Chloe Theodorou ◽  
Zia Moinuddin ◽  
David Van Dellen
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Surgical Techniques ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Fistula Formation ◽  
Mesh Technique ◽  
Dual Mesh

Abstract Aims Incisional hernias are a common complication after surgery that cause significant patient morbidity. Symptomatic patients are offered repair but many surgical techniques exist, with abdominal wall reconstruction becoming preferable for large complex defects. This paper describes our experience of abdominal wall reconstruction using a dual mesh technique. Method 22 patients underwent incisional hernia repair between March 2019 and September 2020. All patients received dual mesh, placed in retrorectus or transversalis fascial/retromuscular space. Absorbable BIO-A GORE mesh was used with a polypropylene mesh above. All patients were followed up to assess for complications and recurrence. Results No patients experienced fistula formation, long-term pain or obstructive symptoms. We report one true hernia recurrence (4.5%) and one case of infected mesh (4.5%), these both await further treatment. One patient had a proven wound infection which resolved with conservative treatment. 4 patients (18.2%) experienced seromas, 3 of these resolved spontaneously, one requiring image-guided drainage. Conclusion Incisional hernia repair using combination polypropylene and bio-absorbable mesh provides a safe and effective repair with low recurrence and incidence of surgical site occurrences in the short term. Longer follow up and further studies are needed to evaluate this mesh technique to support ongoing use of absorbable meshes in complex hernia repair.

scholarly journals Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Masatsugu Kuroiwa ◽  
Masato Kitazawa ◽  
Yusuke Miyagawa ◽  
Futoshi Muranaka ◽  
Shigeo Tokumaru ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Rare Case ◽  
Intestinal Tract ◽  
Incisional Hernia Repair ◽  
Small Bowel Resection ◽  
Fistula Formation ◽  
Mesh Migration ◽  
Incisional Surgical Site Infection

Background. Tension-free repair using mesh has become the standard treatment for abdominal wall incisional hernias. However, its postoperative complications reportedly include mesh infection, adhesions, and fistula formation in other organs. Here, we report an extremely rare case of mesh migration into the neobladder and ileum with entero-neobladder and neobladder-cutaneous fistulas. Case Presentation. An 80-year-old male who had undergone radical cystectomy 5 years ago and abdominal wall incisional hernia repair 3 years ago presented with fever and abdominal pain. Computed tomography (CT) scan revealed mesh migration into the neobladder and ileum. He was treated conservatively with antibiotics for a month but did not show improvement; hence, he was transferred to our hospital. He was diagnosed with mesh migration into the neobladder and ileum with complicated fistula formation. He underwent mesh removal, partial neobladder resection, and partial small bowel resection. He developed superficial incisional surgical site infection, which improved with drainage and antibiotics, and he was discharged 40 days after the surgery. Conclusions. We reported a rare case of mesh migration into the neobladder and ileum with fistula formation. Successful conservative treatment cannot be expected for this condition because mesh migration into the intestinal tract causes infection and fistula formation. Hernia repair requires careful placement of the mesh such that it does not come into contact with the intestinal tract. Early surgical intervention is important if migration into the intestinal tract is observed.

scholarly journals A case of a colocutaneous fistula: A rare complication of mesh migration into the sigmoid colon after open tension-free hernia repair

2015 ◽  
Vol 14 ◽  
pp. 26-29 ◽  
Author(s):  
Saud Al-Subaie ◽  
Mohanned Al-Haddad ◽  
Wadha Al-Yaqout ◽  
Mufarrej Al-Hajeri ◽  
Christiano Claus
Keyword(s):  
Hernia Repair ◽  
Sigmoid Colon ◽  
Rare Complication ◽  
Mesh Migration ◽  
Tension Free ◽  
Colocutaneous Fistula

scholarly journals Spontaneous umbilical hernia rupture with omental evisceration and Flood syndrome

2019 ◽  
Vol 6 (10) ◽  
pp. 3830
Author(s):  
Rachel Colbran ◽  
Alison Smith ◽  
Aemelia Melloy ◽  
Ramesh Iyer
Keyword(s):  
Hernia Repair ◽  
Cirrhotic Patient ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Mortality And Morbidity ◽  
Perioperative Morbidity ◽  
Bacterial Peritonitis ◽  
Increased Risk ◽  
Umbilical Hernia Repair ◽  
Cirrhotic Patients

Cirrhotic patients are at increased risk of developing umbilical hernias. Many cirrhotic patients’ umbilical hernias are not repaired electively due to concerns for high perioperative morbidity and mortality. This case report aims to inform clinicians about the unique challenges that arise during emergency management of umbilical hernias in the cirrhotic patient. A 59-year-old male with Child-Turcotte-Pugh grade B cirrhosis presented to our hospital with an incarcerated umbilical hernia that spontaneously ruptured with large volume ascitic leak (known as Flood syndrome) and omental evisceration. The patient underwent emergency sutured umbilical hernia repair, and required a prolonged post-operative stay in the hospital intensive care unit after suffering from complications including spontaneous bacterial peritonitis, anaphylaxis to antibiotic treatment, aspiration pneumonia, encephalopathy and worsening ascites. He eventually made a good recovery and underwent rehabilitation prior to discharge home. This case highlights the rare complication of spontaneous omental evisceration of an umbilical hernia in the cirrhotic patient and details its subsequent management. It is important to note that elective hernia repair after medical optimisation is high risk in the cirrhotic patient, but is recommended to avoid the high perioperative mortality and morbidity associated with emergency repair.

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