Late enterocutaneous fistula as a complication after umbilical hernioplasty

Costa, David J.; Tomás, A.; Lacueva, Javier; Pérez, F.; Oliver, Israel; Arroyo, Antonio; Sánchez, Ana; Andreu, J M; Gállego, José Antonio Gutiérrez; Calpena, Rafael

doi:10.1007/s10029-004-0205-x

Cited by 11 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there is no controlled study to compare plug repair with other techniques. Besides plug repairs have the risk of migration and enterocutaneous fistula formation (25).…”

Section: Which Repair Technique?mentioning

confidence: 99%

Current options in umbilical hernia repair in adult patients

Kulaçoğlu¹

2015

UCD

104

126

View full text Add to dashboard Cite

Umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. Standard polypropylene mesh is suitable for the open onlay technique; however, composite meshes are required for laparoscopic repairs. Large seromas and surgical site infection are rather common complications that may result in recurrence. Obesity, ascites, and excessive weight gain following repair are obviously potential risk factors. Moreover, smoking may create a risk for recurrence.

show abstract

“…However, there is no controlled study to compare plug repair with other techniques. Besides plug repairs have the risk of migration and enterocutaneous fistula formation (25).…”

Section: Which Repair Technique?mentioning

confidence: 99%

Current options in umbilical hernia repair in adult patients

Kulaçoğlu¹

2015

UCD

104

126

View full text Add to dashboard Cite

show abstract

“…Treatment involves resecting the fistula, associated intestine, and mesh. 3 Abscesses are frequently diagnosed with POCUS in the emergency department; 4 however, to date no literature reports POCUS diagnosis of ECF or mesh infection. Comprehensive…”

Section: Discussionmentioning

confidence: 99%

Enterocutaneous Fistula and Abscess Diagnosed with Point-of-care Ultrasound

McCuskee

Anderson

2021

Clinical Practice and Cases in Emergency Medicine

View full text Add to dashboard Cite

Case Presentation: A 64-year-old female with history of umbilical hernia repair with mesh 18 years prior, cystocele, and diabetes mellitus presented with 10 days of abdominal and flank pain. The patient was tachycardic, normotensive, afebrile, and had an erythematous, tender, protuberant abdominal wall mass. Point-of-care ultrasound (POCUS) revealed an irregular, heterogeneous extraperitoneal fluid collection with intraperitoneal communication; these findings were consistent with an abscess and infected mesh with evidence for intraperitoneal extension. The diagnosis of enterocutaneous fistula (ECF) with infected mesh and abdominal wall abscess was confirmed with computed tomography and the patient was admitted for antibiotics and source control. Discussion: A rare complication of hernia repair with mesh, ECF typically occurs later than more common complications including cellulitis, hernia recurrence, and bowel obstruction. In the emergency department, POCUS is commonly used to evaluate for abscess; in other settings, comprehensive ultrasound is used to evaluate for complications after hernia repair with mesh. However, to date there is no literature reporting POCUS diagnosis of ECF or mesh infection. This case suggests that distant surgery should not preclude consideration of mesh infection and ECF, and that POCUS may be useful in evaluating for these complications.

show abstract

“…However, it is associated with a number of potential complications including chronic pain, bowel adhesion, obstruction, and fistula formation, particularly when implanted directly over the viscera. 6 Surgical site and mesh infections are another potential nightmare after umbilical hernia repairs. Infection of the permanent, synthetic mesh is not only morbid, but increases the price of treatment and leads to a higher incidence of hernia recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Some of the well-known factors affecting recurrence rates are obesity, hernia size, preoperative presence of mesh, and postoperative wound infection. [4][5][6] A variety of different implantable synthetic mesh materials are available commercially for umbilical hernia repair. However, no single material has gained universal acceptance or preference.…”

mentioning

confidence: 99%

“…Permanent synthetic materials are associated with a number of potential complications, including mesh extrusion, chronic pain, intestinal adherence, obstruction, and fistula formation. [6][7][8][9][10][11] Such complications can lead to more complex and costly surgeries, as well as the development of a recurrent hernia. Another potential problem with permanent synthetic mesh is its susceptibility to bacterial colonization and chronic infection, which may require further surgery or interventions for the patient.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Umbilical Herniorrhaphy Reinforced with Biologic Mesh

Edelman

Bellows

2010

The American Surgeon™

View full text Add to dashboard Cite

The true recurrence rate after umbilical hernia repair in not known. After simple closure, the reported rate of recurrence in the literature is as high as 54 per cent. With synthetic mesh repair, the recurrence rates are lowered to less than 10 per cent. However, synthetic mesh is associated with complications such as enterocutaneous fistula and mesh infections. This preliminary study looks at the safety and effectiveness of biologic extracellular matrix mesh reinforcement in the repair of umbilical hernias. We retrospectively reviewed all patients who underwent repair of an umbilical hernia defect (2-3 cm) with primary approximation of the margins and reinforced using a biologic mesh placed beneath the umbilical fascia from 2007 to 2009. Demographic data were collected. Patients were followed prospectively at 2 weeks, 8 weeks, 6 months, and 1 year. Data were reviewed for postoperative complications, hernia recurrence, and patient satisfaction. During the study period, 16 patients completed the 1 year follow-up. There were 10 men and six women. Ages ranged from 28 to 75 years with a mean age of 47.6 years. The hernias were 2 to 3 cm in size. Complications were minimal. Overall patient satisfaction with the procedure was high. There were no mesh infections. During a mean follow-up of 12 months, only one patient had recurrent hernia (6%). This preliminary evaluation shows promise for an alternative treatment of umbilical hernias using biologic extracellular matrix mesh added as an underlay to reinforce a primary closure. The biologic mesh has a low incidence of infection and complications and results in high patient satisfaction. This preliminary study begs for a randomized, prospective evaluation with long-term follow-up.

show abstract

Late enterocutaneous fistula as a complication after umbilical hernioplasty

Cited by 11 publications

References 4 publications

Current options in umbilical hernia repair in adult patients

Current options in umbilical hernia repair in adult patients

Enterocutaneous Fistula and Abscess Diagnosed with Point-of-care Ultrasound

Umbilical Herniorrhaphy Reinforced with Biologic Mesh

Contact Info

Product

Resources

About