Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: Case report

Benedetti, Mario; Albertario, Simone; Niebel, Thekla; Bíanchi, C; Tinozzi, Francesco Paolo; Moglia, P; Arcidiaco, M; Tinozzi, S

doi:10.1007/s10029-004-0256-z

Cited by 62 publications

(38 citation statements)

References 11 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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“…Mesh erosion and migration can present as acute intestinal obstruction, mass formation, bowel perforation and chronic abdominal pain. [5][6][7] Mesh migration may occur because of inadequate fixation of the mesh to the fascia or adequate fixation complicated by sliding via external forces and entry in the abdomen from points of least resistance. In addition, migration can occur acutely or in response to an inflammatory reaction to mesh erosion over a period of years.…”

Section: Discussionmentioning

confidence: 99%