Late intestinal fistula formation after incisional hernia using intraperitoneal mesh

Ott, Vincent Olivier; Groebli, Y; Schneider, R.

doi:10.1007/s10029-004-0271-0

Cited by 53 publications

(35 citation statements)

References 8 publications

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“…12,13 Migration of the mesh from the primary site of implantation in the abdominal cavity is one of the most dangerous complications. [14][15][16] Intense chronic foreign body reactions around the mesh prosthesis may produce meshoma/plugoma treatment of which becomes a new surgical challenge. [17][18][19] The observed complication rate, postoperative dysfunction and high cost composite meshes have urged surgeons to look for new hernia repair techniques or to modify old ones.…”

Section: Introductionmentioning

confidence: 99%

Desarda’s versus Lichtenstein technique of inguinal hernia repair

Obaid¹

2017

Int Surg J

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INTRODUCTIONInguinal hernia is one of the most common diseases manage by surgeon.1 A hernia is abnormal protrusion of a viscus or a part of viscus through an opening in the wall of cavity containing it. It tends to occur at natural areas of weakness, where muscles are not strong and are vulnerable to intra-abdominal pressure. The estimated lifetime risk for inguinal hernia is 27% for men and 3% for women. 2The choice of a surgery depends on the surgeon as there were no written surgical guidelines for hernia treatment till 2009. [3][4][5] There is a considerable variation in the efficiency of all these procedures which is calculated by the rate of recurrence, complications which is also influenced not only by the different techniques but also by experience and the technical skills of the surgeons. 6 However, the ideal method for modern hernia surgery should be simple, cost effective, safe, tension free and permanent. The Lichtenstein operation to a great extent ABSTRACT Background: Ideal method for modern hernia surgery should be simple, cost effective, safe, tension free and permanent. The Lichtenstein operation to a great extent achieves this entire goal. The Lichtenstein mesh repair is associated with complications, postoperative dysfunction and high cost composite meshes. Desarda's technique, became a new surgical option for tissue-based inguinal hernia repair. The present study was designed to evaluate and compare the effectiveness and complications of the Desarda's repair with Lichtenstein tension-free mesh repair for treatment of inguinal hernia in a developing country. Methods: 200 patients with unilateral, primary, reducible inguinal hernia were selected. Included patients were randomly divided into two groups. Studied parameters were Duration of surgery, intra operative complications, postoperative Pain, Duration of hospital stay, return to normal activities, post-operative complications and recurrences. Results: There were a total of 100 patients each group. There was no statistically significant difference in duration of surgery and complication rate between the two groups. Difference in mean VAS was not statistically significant. The mean hospital stay in Desarda's technique was 2.5 days while it was 2.6 days in Lichtenstein's group. The mean time to return to basic physical activity in the Desarda's technique was 12.6 days while it was 13.3 days in the Lichtenstein's group. There were no recurrences in either group. Chronic inguinal pain (>1month) was more frequent in Lichtenstein's group. Conclusions: There is no significant difference in duration of surgery, intra operative complication rate, postoperative pain, complications and recurrence, between Desarda's technique and Lichtenstein's technique. However chronic inguinal pain is less in Desarda's technique. Desarda's repair must be considered in young patients (<30 years). Its long-term efficacy needs to be studied with larger, prospective double-blind randomized trials, with longer follow-up.

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Section: Introductionmentioning

confidence: 99%

Desarda’s versus Lichtenstein technique of inguinal hernia repair

Obaid¹

2017

Int Surg J

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“…[4,5] Migration of the mesh from the primary site of implantation in the abdominal cavity is one of the most dangerous complications. [6][7][8] Intense chronic foreign body reactions around the mesh prosthesis may produce meshoma /plugoma treatment of which becomes a new surgical challenge. [9][10][11] The observed complication rate, postoperative dysfunction and high cost composite meshes have urged surgeons to look for new hernia repair techniques or to modify old ones.…”

Section: Introductionmentioning

confidence: 99%

Desarda’s No Mesh Repair Versus Lichtenstein’s Open Mesh Repair of Inguinal Hernia: A Comparative Study

Abbas¹,

Bhat²,

Koul³

et al. 2015

jemds

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“…The occurrence of this morbid condition may require iterative and complex operations, and may lead to death, as for our patient [1][2][3]. It is more likely to be encountered when mesh is intra-peritoneal, directly over the viscera, than when placed pre-peritoneal or retro-muscular [1][2][3][4].…”

Section: Discussionmentioning

confidence: 83%

“…This serious complication is encountered in a period of 1 to 15 years after primary repair (6 years for our patient) [1][2][3][4][5] and its frequency varies between 0.3 and 3.5% [1,2]. The occurrence of this morbid condition may require iterative and complex operations, and may lead to death, as for our patient [1][2][3]. It is more likely to be encountered when mesh is intra-peritoneal, directly over the viscera, than when placed pre-peritoneal or retro-muscular [1][2][3][4].…”

Section: Discussionmentioning

confidence: 94%

“…Contributory factors have been identified, such as the kind of prosthesis (with higher rates of complication when a polyester mesh is used), the upper location of the hernia, the prosthetic repair of strangulated hernias, previous wound infection, the excision of hernia sac and the absence of omentum transposition between the prosthetic material and the intestine [1][2][3][4][5]. Many of these factors were included in this case report, such as the upper location of the incisional hernia and the use of a polyester intra-peritoneal mesh.…”

Section: Discussionmentioning

confidence: 99%

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Gas gangrene of the abdominal wall due to late-onset enteric fistula after polyester mesh repair of an incisional hernia

Moussi

Daldoul

Bourguiba

et al. 2010

Hernia

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The occurrence of enteric fistulae after wall repair using a prosthetic mesh is a serious but, fortunately, rare complication. We report the case of a 66-year-old diabetic man who presented with gas gangrene of the abdominal wall due to an intra-abdominal abscess caused by intestinal erosion six years after an incisional hernia repair using a polyester mesh. The aim of this case report is to illustrate the seriousness of enteric fistula after parietal repair using a synthetic material.

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Late intestinal fistula formation after incisional hernia using intraperitoneal mesh

Cited by 53 publications

References 8 publications

Desarda’s versus Lichtenstein technique of inguinal hernia repair

Desarda’s versus Lichtenstein technique of inguinal hernia repair

Desarda’s No Mesh Repair Versus Lichtenstein’s Open Mesh Repair of Inguinal Hernia: A Comparative Study

Gas gangrene of the abdominal wall due to late-onset enteric fistula after polyester mesh repair of an incisional hernia

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