Top

Published in:

01-10-2013 | Case Report

An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair

Authors: G. Voisard, L. S. Feldman

Published in: Hernia | Issue 5/2013

Abstract

Mesh repair of incisional hernia is recommended to reduce recurrence. Recognized complications include mesh infection and fistula. Composite meshes with antiadhesive barriers were designed for intraperitoneal placement to reduce adhesion formation and fistulization to the viscera. Transmural mesh migration is a rare complication of hernia repair with composite mesh and can be present with a variety of symptoms. We report an interesting case of transmural mesh migration into the small bowel presenting with chronic microcytic anemia and abdominal pain 5 years after laparoscopic incisional hernia repair with a composite polypropylene/ePTFE mesh.

Santora TA, Roslyn JJ (1993) Incisional hernia. Surg Clin N Am 73:557–570PubMed

Nelson EC, Vidovszky TJ (2011) Composite mesh migration into the sigmoid colon following ventral hernia repair. Hernia 15:101–103PubMedCrossRef

Brown CN, Finch JG (2012) Which mesh for hernia repair? Ann R Coll Surg Engl 92:272–278CrossRef

den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW (2008) Open surgical procedures for incisional hernias. Cochrane Database Syst Rev 3:CD006438

Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133(4):378–382PubMedCrossRef

Yilmaz I, Karakaş DO, Sucullu I, Ozdemir Y, Yucel E (2013) A rare cause of mechanical bowel obstruction: mesh migration. Hernia 17(2):267–269PubMedCrossRef

Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair (review). Cochrane database Syst Rev 3:CD00781

Foda M, Carlson MA (2009) Enterocutaneous fistula associated with ePTFE mesh: case report and review of the literature. Hernia 13(3):323–326PubMedCrossRef

Aydogdu O, Pulat H (2012) Asymptomatic far-migration of an intrauterine device into the abdominal cavity: a rare entity. Can Urol Assoc J 6(3):E134–E136PubMedCrossRef

10.

Hyslop JW, Maull KI (1982) Natural history of the retained surgical sponge. South Med J 75(6):657–660PubMedCrossRef

11.

Wattanasirichaigoon S (1996) Transmural migration of a retained surgical sponge into the intestinal lumen: an experimental study. J Med Assoc Thai 79:415–422PubMed

12.

Benedetti M, Albertario S, Niebel T, Bianchi C, Tinozzi FP, Moglia P, Arcidiaco M et al (2005) Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia 9:93–95PubMedCrossRef

13.

Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10:79–82PubMedCrossRef

14.

Chuback JA, Singh RS, Sills C, Dick LS (2000) Small bowel obstruction resulting from mesh plug migration after open inguinal hernia repair. Surgery 127:475–476PubMedCrossRef

15.

Goswami R, Babor M, Ojo A (2007) Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. J Laparoendosc Adv Surg Tech A 17:669–672PubMedCrossRef

16.

Majeski J (1998) Migration of wire mesh into the intestinal lumen causing an intestinal obstruction 30 years after repair of a ventral hernia. South Med J 91:496–498PubMedCrossRef

17.

Steinhagen E, Khaitov S, Steinhagen RM (2010) Intraluminal migration of mesh following incisional hernial repair. Hernia 14:659–662PubMedCrossRef

18.

Nelson EC, Vidovszky TJ (2011) Composite mesh migration into the sigmoid colon following ventral hernia repair. Hernia 15:101–103PubMedCrossRef

19.

Horzic M, Vergles D, Cupurdija K, Kopljar M, Zidak M, Lackovic Z (2011) Spontaneous mesh evacuation per rectum after incisional ventral hernia repair. Hernia 15:351–352PubMedCrossRef

20.

Falk GA, Means JR, Pryor AD (2009) A case of ventral hernia mesh migration with splenosis mimicking a gastric mass. BMJ Case Rep. doi:10.1136/bcr.06.2009.2033

21.

Klinge U, Conze J, Carsten JK, Schumpelick V (2005) Incisional hernia: open techniques. World J Surg 29:1066–1072PubMedCrossRef

Title: An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair
Authors: G. Voisard
L. S. Feldman
Publication date: 01-10-2013
Publisher: Springer Paris
Published in: Hernia / Issue 5/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-013-1127-2

At a glance: The STEP trials

Springer Medicine

An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2013

The danger of performing meta-analysis and the impact of guidelines

Closure versus non-closure of hernia defect during laparoscopic ventral hernia repair with mesh

Effect of patient and hospital characteristics on outcomes of elective ventral hernia repair in the United States

Short- and mid-term outcome after laparoscopic repair of large incisional hernia

Use of antibiotic prophylaxis in elective inguinal hernia repair in adults in London and south-east England: a cross-sectional survey

Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference