Intravesikale Migration eines Polypropylennetzes 3 Jahre nach laparaskopischer transperitonealer Hernioplastik

Abstract

The repair of an inguinal hernia is the surgical procedure most often performed. Complication rates after laparoscopic hernioplasty amount up to 19%, with hematoma/seroma, neuralgia, urinary retention, and chronic pain most frequently reported. Significant complications such as trocar site bleeding or bowel injury occur in 0.4-5.6%, and sporadic intraoperative lesions of the bladder have been mentioned. We present a 48-year-old patient with recurrent dysuria 3 years after transabdominal preperitoneal hernioplasty (TAPP). The preoperative diagnostic evaluation led to the assumption of an intravesical mesh dislocation. In spite of extensive adhesions between the mesh and the bladder wall, the mesh including five fixation coils could be removed via a suprapubic access. The postoperative period was without complications, and the patient has no complaints. The incidence of complications after laparoscopic hernioplasty is low. Still, severe problems such as mesh rejection, spermatic granuloma, or mesh migration into the small and large intestine do occur. Migration of a mesh into the urinary bladder has only been described twice.

Mesh Migration Into the Bladder After TEP Repair: A Rare Case Report

“…Partial cystectomy with resection of the wall containing mesh was performed. 7 The second case was reported by Bodenbach et al, 4 where the patient presented with recurrent dysuria 3 years after transabdominal preperitoneal repair. The preoperative diagnostic evaluation led to the diagnosis of intravesical mesh migration.…”

Mesh Erosion into Caecum Following Laparoscopic Repair of Inguinal Hernia (TAPP): A Case Report and Literature Review

“…Laparoscopic repair of the inguinal hernia is associated with mesh migration and erosion into the intra-ab- [4][5][6][7][8] Migration and erosion of mesh into the bowel has also been reported. 9, 10 We found 1 case of mesh migration and erosion into the splenic flexure of the colon 6 months after the laparoscopic repair of a bilateral inguinal hernia (TAPP), which was removed by a colonoscopy.…”

Unusual Timing of Mesh Migration Following Inguinal Hernioplasty: A Case Report and Literature Review

“…Hematuria may be painless, or it may also be present with irritative symptoms. Fever (11), inguinal pain (6,18), discharge from the groin (8,11), pneumaturia (12), and dysuria (9,10,20) have all been reported in the literature. Mesh erosion was observed incidentally on an asymptomatic patient during an endoscopic examination (22).…”