Mesh erosion into urinary bladder, rare condition but important to know

Li, J; Cheng, Tao

doi:10.1007/s10029-019-01966-0

Cited by 24 publications

(17 citation statements)

References 35 publications

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“…Also, the UGF on the surface of the vas deferens and spermatic vessels must be protected to reduce the adhesion between the mesh and vas deferens. The previous studies have summarized the complications associated with the mesh, such as mesh migration [ 17 ], mesh erosion into the urinary bladder [ 18 ], and visceral injury [ 19 ]. Proper mesh placement is key to preventing these complications.…”

Section: Discussionmentioning

confidence: 99%

Urogenital fascia anatomy study in the inguinal region of 10 formalin-fixed cadavers: new understanding for laparoscopic inguinal hernia repair

Qin

Yan

et al. 2021

BMC Surg

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Purpose To investigate the urogenital fascia (UGF) anatomy in the inguinal region, to provide anatomical guidance for laparoscopic inguinal hernia repair (LIHR). Methods The anatomy was performed on 10 formalin-fixed cadavers. The peritoneum and its deeper fascial tissues were carefully dissected. Results The UGF’s bilateral superficial layer extended and ended in front of the abdominal aorta. At the posterior axillary line, the superficial layer medially reversed, with extension represented the UGF's deep layer. The UGF's bilateral deep layer medially extended beside the vertebral body and then continued with the transversalis fascia. The ureters, genital vessels, and superior hypogastric plexus moved between both layers. The vas deferens and spermatic vessels, ensheathed by both layers, moved through the deep inguinal ring. From the deep inguinal ring to the midline, the superficial layer extended to the urinary bladder’s posterior wall, whereas the deep layer extended to its anterior wall. Both layers ensheathed the urinary bladder and extended along the medial umbilical ligament to the umbilicus and in the sacral promontory, extended along the sacrum, forming the presacral fascia. The superficial layer formed the rectosacral fascia at S4 sacral vertebra, and the deep layer extended to the pelvic diaphragm, terminating at the levator ani muscle. Conclusion The UGF ensheaths the kidneys, ureters, vas deferens, genital vessels, superior hypogastric plexus, seminal vesicles, prostate, and urinary bladder. This knowledge of the UGF’s anatomy in the inguinal region will help find correct LIHR targets and reduce bleeding and other complications.

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Section: Discussionmentioning

confidence: 99%

Urogenital fascia anatomy study in the inguinal region of 10 formalin-fixed cadavers: new understanding for laparoscopic inguinal hernia repair

Qin

Yan

et al. 2021

BMC Surg

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“…6–12 The presence of poly n-butylcyanoacrylate as a major component of urine bladder stone in our patient leads to an assumption that poly n-butylcyanoacrylate used in therapy of seroma was released into the bladder and thus became the crucial part of the concretion formation. The mechanism of the cyanoacrylate release into the bladder could be also explained by the mesh erosion caused by secondary migration as a result of erosion of the surrounding tissue, 13–15 but this was not the case of our patient. Some recent studies demonstrated cyanoacrylate bladder stone formation following occlusion of vesicosigmoid fistula.…”

Section: Discussionmentioning

confidence: 60%

Polycyanoacrylate (super glue) as bladder concretion in a patient after bilateral inguinal hernioplasty

et al. 2020

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A rare case of cyanoacrylate urine bladder urolithiasis in a 60-year-old male is presented. The application of surgical glue (Glubran) as treatment of seroma one month after laparoscopic inguinal hernioplasty led to the instillation of the n-butyl cyanoacrylate into the bladder resulting in the formation of a concretion. Infrared spectroscopy of the urine stone removed by cystoscopic laser lithotripsy four months after the surgery allowed the identification of the nature of the stone and revealed cyanoacrylate as the major component and co-monomer methacryloxy sulfolane as the minor component. Polypropylene from the mesh was not detected.

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“…The ePTFE sheet has a small pore size (1 μ m) and can minimize adhesions to the organ. However, up to 1.2-13.6% of abdominal incisional hernia surgeries using mesh can reportedly result in mesh infection [ 3 – 7 ] ( Table 1 ), and the infected mesh can form fistulas between the intestine, bladder, and other organs, resulting in mesh straying into other organs [ 1 , 2 , 6 , 8 , 9 ] ( Table 2 ).…”

Section: Discussionmentioning

confidence: 99%

Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair

Kuroiwa

Kitazawa

Miyagawa

et al. 2021

Case Reports in Surgery

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Background. Tension-free repair using mesh has become the standard treatment for abdominal wall incisional hernias. However, its postoperative complications reportedly include mesh infection, adhesions, and fistula formation in other organs. Here, we report an extremely rare case of mesh migration into the neobladder and ileum with entero-neobladder and neobladder-cutaneous fistulas. Case Presentation. An 80-year-old male who had undergone radical cystectomy 5 years ago and abdominal wall incisional hernia repair 3 years ago presented with fever and abdominal pain. Computed tomography (CT) scan revealed mesh migration into the neobladder and ileum. He was treated conservatively with antibiotics for a month but did not show improvement; hence, he was transferred to our hospital. He was diagnosed with mesh migration into the neobladder and ileum with complicated fistula formation. He underwent mesh removal, partial neobladder resection, and partial small bowel resection. He developed superficial incisional surgical site infection, which improved with drainage and antibiotics, and he was discharged 40 days after the surgery. Conclusions. We reported a rare case of mesh migration into the neobladder and ileum with fistula formation. Successful conservative treatment cannot be expected for this condition because mesh migration into the intestinal tract causes infection and fistula formation. Hernia repair requires careful placement of the mesh such that it does not come into contact with the intestinal tract. Early surgical intervention is important if migration into the intestinal tract is observed.

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Mesh erosion into urinary bladder, rare condition but important to know

Cited by 24 publications

References 35 publications

Urogenital fascia anatomy study in the inguinal region of 10 formalin-fixed cadavers: new understanding for laparoscopic inguinal hernia repair

Urogenital fascia anatomy study in the inguinal region of 10 formalin-fixed cadavers: new understanding for laparoscopic inguinal hernia repair

Polycyanoacrylate (super glue) as bladder concretion in a patient after bilateral inguinal hernioplasty

Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair

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