S1644 Mesh Migration Mimicking a Diverticular Abscess: A Rare Complication of Hernia Repair

Mesh erosion and migration are considered the gravest of complications of mesh repairs. To the best of our knowledge, mesh erosion and migration into the stomach following a mesh repair of adult diaphragmatic hernia has yet to be reported in the literature. A case of mesh eroding into the stomach, after a prosthetic repair of an adult diaphragmatic hernia, is presented here because of its rarity.

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

Case Reports in Surgery ◽

10.1155/2015/293659 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 4

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.

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

International Surgery Journal ◽

10.18203/2349-2902.isj20180847 ◽

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.

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