A Calcified Foreign Body in the Bladder due toaDisplacedTack

Abstract

We report a rare complication caused by a displaced tack after laparoscopic incisional hernia repair. A 41-year-old woman treated 11 months earlier for a suprapubic incisional hernia (Pfannenstiel laparotomy) received a laparoscopic repair with a bilaminar mesh fixed with tacks. Seven months later, she presented miccional irritative symptoms and chronic lower abdominal pain. Leucocyturia and microhematuria were present, and computerized tomography showed 2 calcified nodules in the bladder wall. Cystoscopy confirmed 2 calcified foreign bodies in the bladder due the tack fixation. She underwent an intra-abdominal laparoscopic exploration, which showed the protrusion of a mesh in the urinary bladder. The tacks were removed and a partial laparoscopic cystectomy including mesh protrusion was performed. The patient was discharged from hospital 4 days later without postoperative complications. At follow-up 24 months after surgery, she remains well with no pain, urinary symptoms, or hernia recurrence.

Suture Versus Tack Fixation of Mesh in Laparoscopic Umbilical Hernia Repair

“…4,17 In the case of tack fixation, significantly decreased operative time has been reported, 18 yet there are also isolated case reports of severe postoperative complications such as small-bowel obstruction and perforation, 19–21 chronic neuropathic pain, 22 and other serious complications from tack displacement. 23,24 Recently, both suture and tack fixation in ventral hernias have been evaluated and shown to have nonsignificant differences in postoperative pain. 14 However, no such analysis has been conducted in UHR.…”

Laparoscopic Partial Cystectomy With Excision of Mesh Migration Into the Bladder Following Repair of Inguinal Hernia

“…Most previous literature has reported laparotomy for surgical removal of migrated mesh. 3 , 4 Although Feliu et al reported laparoscopic partial cystectomy for removal of a mesh protrusion after incisional hernia repair, 5 as yet there are no reports of laparoscopic partial cystectomy to remove migrated mesh after inguinal hernioplasty. In the present case, tight adhesion on the right hypogastrium and displacement of the bladder made a laparoscopic approach difficult.…”