Sigmoid colon fistula following totally extraperitoneal hernioplasty: an improper treatment for mesh infection or iatrogenic injury?

Han, Hogyu; Kim, C.-Y.; Choi, Sang-Gi; Kwak, Jung‐Myun; Lee, S.-I.

doi:10.1007/s10029-010-0700-1

Cited by 10 publications

(10 citation statements)

References 19 publications

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“…[1] The hypotheses put forwards to explain mesh erosion are (a) mesh infection with subsequent fistulisation, (b) partial injury to the adjacent visceral wall and (c) direct erosion of the mesh into the viscera due to its proximity. [3] Our case had undergone TEP and tacks were used that could be seen in the CT scan.…”

Section: Discussionmentioning

confidence: 99%

Mesh erosion into urinary bladder following laparoscopic inguinal hernia repair

Sandhu

Kumar

2017

J Min Access Surg

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Along with advantages, evolving surgical techniques bring unique complications. A young male developed urinary symptoms a few months after undergoing laparoscopic inguinal hernia repair. On evaluation, mesh erosion into the urinary bladder was found. Removal of mesh with repair of bladder was done. A vesico-cutaneous fistula resulted which was managed with repeat surgery. We review all such cases reported in literature; discuss the etiopathogenesis, presentation, management and possible preventive measures. To the best of our knowledge, this is only the 12th case being reported.

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Section: Discussionmentioning

confidence: 99%

Mesh erosion into urinary bladder following laparoscopic inguinal hernia repair

Sandhu

Kumar

2017

J Min Access Surg

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“…[5] Postoperative mesh infection could be avoided by preventive methods, such as careful hemostasis, asepsis, conscientious dissection, and good hemostasis, to reduce the likelihood of hematoma and seroma formation. [6] In addition, proper preperitoneal dissection reduces the risks of inadvertent peritoneal cavity violation and of failure to close the peritoneal opening of the hernia sac.…”

Section: Discussionmentioning

confidence: 99%

Anastomosis procedure through an inguinal hernia incision in simultaneous laparoscopic anterior resection and inguinal hernia repair

Suzuki

Kawahara

Iida

et al. 2011

J Surg Tech Case Report

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For laparoscopic anterior resection, an additional small incision is usually placed in the left lower quadrant or the suprapubic portion. As a left inguinal hernia incision is close to both the left lower quadrant and the suprapubic portion, such an incision can be used for anastomosis in laparoscopic anterior resection, without additional incisions. We report a laparoscopic anterior resection using a left inguinal hernia incision for colorectal anastomosis, in a patient who underwent concomitant left inguinal hernia repair. After a total mesorectal excision was performed laparoscopically, the distal portion of the rectum was transected by a stapler. A 4 cm skin incision was made in the left inguinal region and carried down to the peritoneum through the hernia sac. The bowel resection was performed extracorporeally, and an anvil was placed at the proximal end of the colon over a purse-string suture. After colorectal anastomosis was performed using a circular stapler inserted through the anus, the inguinal hernia was repaired with a mesh. The inguinal wound healed without surgical site infection, and the patient was discharged ten days after surgery.

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“…Postoperative gastrointestinal complications are port-site hernia, internal herniation from improper peritoneal closure and adhesion leading to intestinal obstruction and occasional fistulisation when bowel is involved. 4,[25][26][27] Bowel obstruction by herniation through trocar site or imperfect closure of peritoneum 3 occur earlier (8 days) than obstruction from adhesion which commonly happens after a month (mean onset 25 days), 2 just as majority of hernia recurrences following LIHR develops within a year. 6 Both these statistics fall within purview of follow-up done in this study.…”

Section: Wjolsmentioning

confidence: 99%

A Comparative Randomized Parallel Group Study between the Classical TAPP Repair and Modified TAPP Surgical Method for Inguinal Hernia Repair

Ghosh¹

2014

WJOLS

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Objective: To compare equality of clinical outcome of simultaneous bilateral transabdominal preperitoneal (TAPP) repair of inguinal hernia by classical TAPP, with meticulous closure of peritoneal flap and modified TAPP, with peritoneal nonclosure and controlled release of pneumoperitoneum. Study to answer the research question-'is meticulous closure of peritoneal flap, the only way to provide adequate cover for the mesh in TAPP repair?' Summary and background data: The objective of meticulous closure of peritoneum is to prevent internal herniation while covering the mesh adequately to avoid contact between mesh and abdominal viscera. The study proposes same objective can also be achieved with nonclosure of peritoneum. Patients and methods: Between August 2011 and July 2012, 130 inguinal hernias of 65 patients who underwent TAPP repair were randomized in two groups. One group (n = 65) of hernias received classical repair with peritoneal closure (control), while the other (n = 65) without closure (study). The primary end points were bowel related complications and recurrence. Results: The two groups were comparable in age and types of hernia. Transabdominal preperitoneal was successfully done in all cases. No bowel-related complication and recurrence occurred in either group. Mean operating time was significantly less with modified TAPP (65 mins vs 76 mins, p < 0.05). Lower incidence of chronic pain (3 vs 13.84%, p = 0.007) and seroma (7.69 vs 15.38%) was achieved during mean follow-up of 628 days. Conclusion: The randomized prospective parallel group study demonstrated equality in clinical outcome on both primary end points by providing equivalent peritoneal cover for the mesh as meticulous peritoneal closure does in classical TAPP.

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Sigmoid colon fistula following totally extraperitoneal hernioplasty: an improper treatment for mesh infection or iatrogenic injury?

Cited by 10 publications

References 19 publications

Mesh erosion into urinary bladder following laparoscopic inguinal hernia repair

Mesh erosion into urinary bladder following laparoscopic inguinal hernia repair

Anastomosis procedure through an inguinal hernia incision in simultaneous laparoscopic anterior resection and inguinal hernia repair

A Comparative Randomized Parallel Group Study between the Classical TAPP Repair and Modified TAPP Surgical Method for Inguinal Hernia Repair

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