Chronic anemia due to transmural e-PTFE anti-adhesive barrier mesh migration in the small bowel after open incisional hernia repair: A case report

Ceci, Francesca; D'Amore, L; Annesi, Elena; Bambi, Lucia; Grimaldi, Maria Chiara; Gossetti, Francesco; Negro, Paolo

doi:10.1016/j.ijscr.2018.10.012

Cited by 7 publications

(10 citation statements)

References 18 publications

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“…However, they are rare and it can be difficult to reach the diagnosis [4]. Mesh graft migration could be primary when the mesh graft is not securely attached to the surrounding tissue migrates through areas of least resistance, or secondary mesh graft migration occurs as a result of foreign body reactions that forms granulation tissue and eventually erodes the mesh graft and causes migration through trans-anatomical planes [5, 6]. Colonoscopy is the modality of choice for diagnosing mesh migration to the colon, though ultrasound and CT scan can also be helpful [4].…”

Section: Introductionmentioning

confidence: 99%

Chronic abdominal pain after laparoscopic hernia repair due to mesh graft migration to the cecum: a case report

et al. 2019

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BackgroundHernia repair with mesh graft is one of the most common procedures in general surgery. Mesh graft repair is the treatment of choice for umbilical and periumbilical hernias to minimize recurrence. One of the rare but serious complications is mesh graft migration to viscus. These complications can occur months to years after repair and their diagnosis can be challenging as they may present as vague abdominal pain only.Case presentationA 74-year-old gentleman with multiple medical comorbidities was diagnosed with a para-umbilical hernia after which he underwent a laparoscopic hernia repair at our hospital using a mesh graft with no complications. On postoperative day 10, he presented to the emergency room (ER) complaining of colicky abdominal pain in the right iliac fossa for 1 day associated with diarrhea. A Computed Tomography (CT) scan of the abdomen and pelvis showed diffuse wall thickening of the cecum and terminal ileum with small free air worrisome for perforation. The decision was made in the ER to discharge him home on antibiotics. The patient then returned back multiple times to the ER for the same complaint along with bleeding per rectum for which he underwent further investigations. Months later, the patient presented again with the same symptoms. A CT scan revealed recurrence of a periumbilical hernia and thickening of the medial wall of the cecum with mesh graft material. The patient was then taken to surgery and intra-operative findings revealed migration of almost 50% of the mesh graft size to the cecum and part of the mesh graft was eroding the distal part of ileum just proximal to the ileocecal junction. Adhesolysis and limited right hemicolectomy with ileocolic anastomosis was done. The patient had an uneventful recovery after revisions surgery without any perioperative complications. He was discharged home on postoperative readmission day 5 and followed up at 2 weeks and 3 months without any delayed complications or subjective complaints.ConclusionIt is important to consider mesh graft migration to viscus as a cause of persistent abdominal pain and bleeding per rectum irrespective of the time of presentation post hernia repair.

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Section: Introductionmentioning

confidence: 99%

Chronic abdominal pain after laparoscopic hernia repair due to mesh graft migration to the cecum: a case report

et al. 2019

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“…However, published reports concerning mesh migration or erosion have increased as mesh procedures become popular for incisional hernia repair [ 6 ]. In addition, the incidence of mesh migration or erosion might be higher than reported because of under-reporting and delayed presentation; e.g., > 10 years after surgery [ 5 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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“…In both alternatives, complications can arise. However, the intraperitoneal position poses an increased risk of dangerous events such as mesh migration [14][15][16][17][18][19], adhesions [20,21], intestinal obstruction [15,19] or fistulae [16,[20][21][22][23][24], that can occur even several years after the mesh placement. Notwithstanding, the IPOM (intraperitoneal onlay mesh) technique is indicated in several patients who have undergone a previous laparoscopic repair, an infraumbilical surgery with violation of the preperitoneal space, or suffer from a recurrent inguinal hernia [25].…”

Section: Mesh Positioning In the Abdominal Wallmentioning

confidence: 99%

Biomaterial Implants in Abdominal Wall Hernia Repair: A Review on the Importance of the Peritoneal Interface

2019

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Biomaterials have long been used to repair defects in the clinical setting, which has led to the development of a wide variety of new materials tailored to specific therapeutic purposes. The efficiency in the repair of the defect and the safety of the different materials employed are determined not only by the nature and structure of their components, but also by the anatomical site where they will be located. Biomaterial implantation into the abdominal cavity in the form of a surgical mesh, such as in the case of abdominal hernia repair, involves the contact between the foreign material and the peritoneum. This review summarizes the different biomaterials currently available in hernia mesh repair and provides insights into a series of peculiarities that must be addressed when designing the optimal mesh to be used in this interface.

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Chronic anemia due to transmural e-PTFE anti-adhesive barrier mesh migration in the small bowel after open incisional hernia repair: A case report

Abstract: HighlightsMesh related unusual complication.Intraluminal mesh migration.Mesh erosion.

Cited by 7 publications

References 18 publications

Chronic abdominal pain after laparoscopic hernia repair due to mesh graft migration to the cecum: a case report

Chronic abdominal pain after laparoscopic hernia repair due to mesh graft migration to the cecum: a case report

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

Biomaterial Implants in Abdominal Wall Hernia Repair: A Review on the Importance of the Peritoneal Interface

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