2006
DOI: 10.1007/s10029-006-0113-3
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Sigmoid colonic fistula secondary to Perfix-plug, left inguinal hernia repair

Abstract: The "plug and patch" mesh herniorrhaphy has become a popular option for inguinal hernia repair. Previous reports have documented several complications with some regularity. This case presents an additional complication and offers suggestions as to why this complication and others might occur.

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Cited by 40 publications
(25 citation statements)
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“…The mesh had been placed via intra-abdominal approach during an emergency exploratory laparotomy [6]. Along with this, several reports of resultant enteric [7] and enterovesical fistulas [8] have been reported. Successful colonoscopic removal of a migrated mesh from the colon at the splenic flexure has also been reported [3].…”
Section: Discussionmentioning
confidence: 96%
“…The mesh had been placed via intra-abdominal approach during an emergency exploratory laparotomy [6]. Along with this, several reports of resultant enteric [7] and enterovesical fistulas [8] have been reported. Successful colonoscopic removal of a migrated mesh from the colon at the splenic flexure has also been reported [3].…”
Section: Discussionmentioning
confidence: 96%
“…Recurrent hernias are almost always found at the edge of implanted mesh. Mesh may become infected, migrate, 10 – 14 or impinge on adjacent structures 15 , 16 . Hematomas 17 – 19 or seromas 20 may develop, and the bowel may become adherent to the undersurface of the implanted mesh 21 .…”
Section: Discussionmentioning
confidence: 99%
“…Symptoms from mesh migration can develop weeks to years after surgery and vary depending on both the route of migration and destination of the mesh. 4 A CT scan may detect further complications of erosion into the bowel, such as frank perforation, 8 fistula, 8,11,12 or abscess. 4,8 To our knowledge, ours is only the third reported case of mesh erosion into the colon presenting as overt lower GI bleeding.…”
Section: Discussionmentioning
confidence: 99%
“…3 Erosion of mesh into the bowel typically presents with abdominal pain, 4,5,8 an abdominal mass, 5 or symptoms of obstruction 7,9,10 or with episodic bleeding per rectum. 8,12,13 In the absence of typical symptoms, however, the diagnosis of mesh erosion into the bowel may be missed by imaging alone. Colonoscopy is the single most effective test for the diagnosis of erosion of mesh into the colon.…”
Section: Discussionmentioning
confidence: 99%