scholarly journals Surgical mesh migration with Rutkow-Robbins technique causing appendicitis: A case report

Author(s):  
Guadalupe K. Peña-Portillo ◽  
Irving Amaro-Zárate ◽  
Samuel R. Medina-Parra ◽  
Juan M. Sidar-Reyes ◽  
Delfino H. Pérez-Cervantes
Author(s):  
Mohamed Mohamed Elawdy ◽  
Emad E. Mousa ◽  
Samer El-Halwagy ◽  
Ahmed Mohamed Eltanahy ◽  
Mohamed M. Salaheldin ◽  
...  

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Riyad Almousa ◽  
Zakaria Habbal ◽  
Tariq Owis ◽  
Memdouh Al Nahawi ◽  
Naji Al Ammari ◽  
...  

2020 ◽  
Vol 2 (5) ◽  
pp. 681-684
Author(s):  
Kim R. Liedtke ◽  
Claudia Liedtke ◽  
Annabel Kleinwort ◽  
Paula Döring ◽  
Anne S. Glitsch ◽  
...  

Abstract Hernia surgery is the most common surgical procedure worldwide. Complications are very rare and usually manifest in recurrence or chronic pain. We report a rare case of mesh migration 14 years after initially complicated transabdominal preperitoneal plastic for left-sided inguinal hernia. The mesh migration resulted in a covered sigmoid perforation, which was completely asymptomatic and only noticed as a chance finding in a staging CT scan prior to irradiation therapy. However, after the onset of immunosuppressive therapy, an exacerbation of chronic, localized inflammation was expected. Therefore, open surgical anterior rectum resection was performed, and after a short hospital stay, the patient could be discharged home free of complaints. This case report aims to raise awareness of possible long-term complications of hernia repair when using non-absorbable meshes.


2021 ◽  
Vol 100 (7) ◽  

Introduction: Mesh migration is one of the least common complications that arise after inguinal hernia repair with a mesh. Only small case series have been reported, and an understanding of this issue is limited due to a lack of data. Most of the cases were treated surgically. In this paper, we wish to present the potential of treating this condition using endoscopic techniques. Case report: A male patient underwent transabdominal preperitoneal repair of a primary inguinal hernia in 1999. In 2003, the patient required the same procedure for a recurrent inguinal hernia. Twenty years after the primary hernia repair, the patient had a positive faecal occult blood test but was completely asymptomatic. A colonoscopy revealed mesh migration into the sigmoid colon. Despite multiple attempts to remove the mesh endoscopically, endoscopic treatment was unsuccessful. The migrated mesh was surgically removed and obligatory resection of the sigmoid colon was carried out. Apart from wound infection (Clavien-Dindo IIIb), the postoperative course was uneventful. Conclusion: In our case, the mesh that had penetrated the colon could not be removed endoscopically. Despite our experience, it is advisable to attempt endoscopic removal of mesh that has migrated into a hollow intra-abdominal viscus.


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