Bowel obstruction secondary to migration of a Ventralex mesh: report of a rare complication

Tsapralis, Dimitrios; Vasiliades, G.; Zaxou, Z; Delimpaltadaki, M; Margetousakis, T H; Papadakis, H; Machairas, Anastasios; Misiakos, Evangelos P.

doi:10.1007/s10029-017-1720-x

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…Intraluminal mesh migration appears to be more common with intraperitoneal mesh and less problematic with preperitoneal, retromuscular, and anterior onlay placement. [1][2][3][4] Only one other case report describes bezoar formation at the site of intraluminal mesh and the composition of the bezoar is described only as "vegetative matter." 4 To our knowledge, this is the first reported case of gallstone-like bezoar formation around an intraluminal hernia mesh causing small bowel obstruction and chronic abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Caused by Bezoar Formation Around Intraluminal Hernia Mesh

Gallagher

Pinzon-Guzman

Pierce

et al. 2022

The American Surgeon

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We present a case report wherein a 55-year-old female presented to our clinic with chronic nausea, vomiting, and dehydration in the setting of a complex past surgical history, including laparoscopic incisional hernia repair in 2007 with intraperitoneal TiMeshTM. She then developed chronic nausea and vomiting and was hospitalized numerous times for dehydration. Due to her ongoing symptoms, she was taken to the operating room for exploration. A large, firm, mobile mass was identified within a loop of small bowel and was found to be a large bezoar firmly attached to a piece of intraluminal mesh. She progressed well postoperatively and, on outpatient follow-up, her pre-operative abdominal symptoms had completely resolved. To our knowledge, this is the first reported case of gallstone-like bezoar formation around an intraluminal hernia mesh causing small bowel obstruction and chronic abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Caused by Bezoar Formation Around Intraluminal Hernia Mesh

Gallagher

Pinzon-Guzman

Pierce

et al. 2022

The American Surgeon

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“…Symptoms induced by mesh migration or erosion are atypical and related to the organ involved [ 5 ]. Various clinical presentations have been reported in relation to mesh erosion into the small bowel or large bowel; e.g., chronic pain [ 5 ], accompanied by rectorrhagia [ 8 ], chronic anemia [ 9 ], enterocutaneous fistula [ 10 ], and bowel obstruction [ 10 ]. One case reported asymptomatic mesh migration [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to the diversity of clinical presentation, the management plan should be individualized to each patient considering the involved viscera, extent of invasion, possibility of endoscopic removal, and overall condition of the patient [ 6 ]. Invasive surgeries including en-bloc bowel resection and anastomosis are required when severe complications of mesh migration or erosion such as enterocutaneous fistula and intestinal bleeding occur [ 9 , 10 ], or when the mesh cannot be removed endoscopically.…”

Section: Discussionmentioning

confidence: 99%

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Transmural Mesh Migration From the Abdominal Wall to the Rectum After Hernia Repair Using a Prolene Mesh: A Case Report

Lee

Bae

2021

Ann Coloproctol

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Mesh erosion or migration is a rare and late complication after hernia repair. Its incidence is increasing as the utilization of prosthetic mesh gains popularity for abdominal hernia repair. However, mesh migration is exceedingly rare and its clinical presentation is atypical and diverse. Therefore the management of mesh migration should be individualized to each patient. This research reports the case of a 94-year-old man with transmural migration of Prolene mesh from the abdominal wall to the rectum 14 years after incisional hernia repair. He presented with only chronic abdominal pain and constipation. Migration of the mesh and a fistula between the right abdominal wall and transverse colon was observed on computed tomography. The mesh was evacuated manually from the anus without any sequelae. These findings made this case atypical, since complete transluminal migration of mesh is exceedingly rare and mesh erosion or migration requires surgical treatment in many cases.

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“…Ponten et al reported significantly more complications and more re-operations in the ventral patch group (Proceed ® mesh) compared to preperitoneal flat polypropylene mesh [ 8 ]. There are also case reports about mesh migration to bowel after Venralex™ hernia patch used in incisional hernia repair [ 9 ]. Several studies have shown low complication, recurrence and reoperation rates after ventral patch repair for small umbilical hernias [ 5 , 6 , 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Ventralex™ ST Hernia Patch Repair for Small Umbilical Hernia is Safe and Effective: A Retrospective Cohort Study

Hiekkaranta

Ahonen

Mäkäräinen

et al. 2023

J. Abdom. Wall Surg.

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Background: Hernia patches for umbilical hernia repair have gained popularity due to their short operation time and ease of use. However, up to 10% re-operation and 8% recurrence rates at 2-year follow-up have been published. This retrospective cohort study presents the long-term results of the hernia patch technique for umbilical hernia repair.Methods: All adult patients who underwent a primary umbilical hernia repair at Oulu University Hospital hernia surgery units during 2014–2018 were included in the study. The primary outcome measure was recurrence rate. Secondary outcomes were complications and re-operation rate.Results: A total of 619 elective primary umbilical hernia repairs were performed during 2014–2018. The major technique used was Ventralex™ ST hernia patch repair (79.0%, 488/619) for small hernias with a mean width of 1.8 (SD 0.79) cm. Most of the patches (84.7%, 414/488) were placed in the preperitoneal space. Hernia recurrence rate of patient operated on using Ventralex™ ST hernia patch was 2.5% (12/488) during a mean follow-up time of 68 (SD 16, 43–98) months. Re-operation rate for another reason than recurrence was 1.6% (8/488). Clavien-Dindo complications ≥3 occurred in 4.1% (20/488) of cases and surgical site infection rate was 3.3% (16/488).Conclusion: Umbilical hernia repair using a Ventralex™ ST hernia patch placed in preperitoneal space have acceptable results in terms of recurrence and re-operations in this cohort study.

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Bowel obstruction secondary to migration of a Ventralex mesh: report of a rare complication

Cited by 10 publications

References 19 publications

Small Bowel Obstruction Caused by Bezoar Formation Around Intraluminal Hernia Mesh

Small Bowel Obstruction Caused by Bezoar Formation Around Intraluminal Hernia Mesh

Transmural Mesh Migration From the Abdominal Wall to the Rectum After Hernia Repair Using a Prolene Mesh: A Case Report

Ventralex™ ST Hernia Patch Repair for Small Umbilical Hernia is Safe and Effective: A Retrospective Cohort Study

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