Enterocutaneous fistula secondary to mesh erosion of bowel: a late complication of polypropylene mesh use in ventral hernia repair

Saxena, Kartik; Saini, Rijul

doi:10.18203/2349-2902.isj20195146

Cited by 4 publications

(4 citation statements)

References 12 publications

(13 reference statements)

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“…As mentioned above, enterocutaneous fistulas also tend to develop as a complication of abdominal surgery, which in a large number of cases, is due to the use of prosthetic mesh repair of incisional hernias, management that presents with low rates of reproductions but a higher incidence of complications, being EF development one of them [ [9] , [10] , [11] ]. In our case, the history of open necrosectomy required the use of a prosthetic mesh in our patient.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Giant squamous cell carcinoma developed on a mesh-related enterocutaneous fistula: A case report

Fajardo¹,

Núñez-Rocha²,

Gómez-Carrillo³

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…In our case, the history of open necrosectomy required the use of a prosthetic mesh in our patient. However, this condition is rare, it is presented in 0–2 % [ 11 ], but is associated with higher morbidity and mortality [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Giant squamous cell carcinoma developed on a mesh-related enterocutaneous fistula: A case report

Fajardo¹,

Núñez-Rocha²,

Gómez-Carrillo³

et al. 2023

International Journal of Surgery Case Reports

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“…Hypothetically, resorbable materials seem preferential over permanent meshes that remain in the body, as they might reduce fear and anxiety, and possibly reduce chronic pain development and sinus formation due to the occasionally described shrinkage of permanent synthetic mesh products [31]. Resorbable meshes might additionally prevent the risk of developing the (rare) complication of enterocutaneous fistula [32][33][34]. Additionally, due to being resorbed, biosynthetic meshes might possibly be more suitable in contaminated wound sites or high-risk patients.…”

Section: Discussionmentioning

confidence: 99%

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

Rooijen

Tollens

Jørgensen

et al. 2021

Hernia

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Introduction Information on the long-term performance of biosynthetic meshes is scarce. This study analyses the performance of biosynthetic mesh (Phasix™) over 24 months. Methods A prospective, international European multi-center trial is described. Adult patients with a Ventral Hernia Working Group (VHWG) grade 3 incisional hernia larger than 10 cm2, scheduled for elective repair, were included. Biosynthetic mesh was placed in sublay position. Short-term outcomes included 3-month surgical site occurrences (SSO), and long-term outcomes comprised hernia recurrence, reoperation, and quality of life assessments until 24 months. Results Eighty-four patients were treated with biosynthetic mesh. Twenty-two patients (26.2%) developed 34 SSOs, of which 32 occurred within 3 months (primary endpoint). Eight patients (11.0%) developed a hernia recurrence. In 13 patients (15.5%), 14 reoperations took place, of which 6 were performed for hernia recurrence (42.9%), 3 for mesh infection (21.4%), and in 7 of which the mesh was explanted (50%). Compared to baseline, quality of life outcomes showed no significant difference after 24 months. Despite theoretical resorption, 10.7% of patients reported presence of mesh sensation in daily life 24 months after surgery. Conclusion After 2 years of follow-up, hernia repair with biosynthetic mesh shows manageable SSO rates and favorable recurrence rates in VHWG grade 3 patients. No statistically significant improvement in quality of life or reduction of pain was observed. Few patients report lasting presence of mesh sensation. Results of biosynthetic mesh after longer periods of follow-up on recurrences and remodeling will provide further valuable information to make clear recommendations. Trial registration Registered on clinicaltrials.gov (NCT02720042), March 25, 2016.

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“…However, there were several cases with polypropylene mesh migration which was visible with CT scan [ 16 , 17 ]. Table 1 shows the characteristic of 15 publications about mesh migration after incisional hernia repair [ 8 - 12 , 16 - 25 ].…”

Section: Discussionmentioning

confidence: 99%

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.

show abstract

Enterocutaneous fistula secondary to mesh erosion of bowel: a late complication of polypropylene mesh use in ventral hernia repair

Cited by 4 publications

References 12 publications

Giant squamous cell carcinoma developed on a mesh-related enterocutaneous fistula: A case report

Giant squamous cell carcinoma developed on a mesh-related enterocutaneous fistula: A case report

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

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

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