The rare travellers

Authors

  • Vinamra Mittal Department of General Surgery, Himalayan Institute of Medical Sciences, SRH University, Swami Rama Nagar, Dehradun, Uttarakhand, India
  • Divyanshu Ghildiyal Department of General Surgery, Himalayan Institute of Medical Sciences, SRH University, Swami Rama Nagar, Dehradun, Uttarakhand, India
  • P. K. Sachan Department of General Surgery, Himalayan Institute of Medical Sciences, SRH University, Swami Rama Nagar, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.18203/2349-2902.isj20214008

Keywords:

Mesh migration, Hernia repair, Hernia surgery complications

Abstract

Hernia surgery constitutes one of the major daily operative procedures in the general surgery department. Using of mesh with tension free repair is the most widely used technique. Mesh migration and subsequent perforation account as one of the very rare complications following laparoscopic or open hernia repair. The complications following surgery present with symptoms at different time intervals and are sometimes very difficult to diagnose. We present here a couple of cases of mesh migration resulting in varied clinical symptoms and a diagnostic dilemma. With more emphasis being on non-fixation of meshes in the recent literatures, a lower clinical and diagnostic threshold should be incorporated in diagnosing such complications.

References

Lyon C, Clark D. Diagnosis of acute abdominal pain in older patients. Am Fam Phys. 2006;74(9).

Liu S, Zhou XX, Li L, Yu M-S, Zhang H, Zhong W-X, Feng J. Mesh migration into the sigmoid colon after inguinal hernia repair presenting as a colonic polyp: a case report and review of literature. World J Clin Cases. 2018;6(12):564-9.

Na Y, Sun YH, Sun ZC, Xu HM. Mesh erosion into sigmoid colon after inguinal hernia repair. Chin Med J. 2017;130:1133-4.

Chen T, Zhang YH, Wang HL, Chen W, Wang J. Late onset deep mesh infection: a study of eight cases detected from 2666 consecutive patients with abdominal wall hernia repairs. Chin Med J. 2016;129:18702.

Lauwers P, Bracke B. Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia. Acta Chir Belg. 2003;103:513-6.

Foschi D, Corsi F. Late rejection of mesh after laparoscopic hernia repair. Surg Endosc. 1998;12:455-7.

Lammers BJ, Meyer HJ. Entwicklungen bei der Leistenhernie vordem Hintergrundneueinge führter Eingriffstechnikenim Kammerbereich Nordrhein. Der Chirurg. 2001;72:448-52.

Falk GA, Means JR, Pryor AD. A case of ventral hernia mesh migration with splenosis mimicking a gastric mass. BMJ Case Rep. 2009;2009:pii:bcr06:2009-33.

Hamouda A, Kennedy J, Grant N, Nigam A, Karanjia N. Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg? Hernia. 2010;14:317-9.

Moorman ML, Price PD. Migrating mesh plug: complication of a well-established hernia repair technique. Am Surg. 2004;70(298):9.

Lauwers P, Bracke B, Hubens G, Vaneerdeweg W. Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia. Acta Chir Belg. 2003;103:513-6.

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Published

2021-09-28

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Section

Case Series