Mesh erosion to urinary bladder causing fistulation to abdominal wall resulting in necrotizing fasciitis: A case report of late complication of incisional hernia

Kok, Amy Siu Yan; Cheung, Tommy S.H.; Lam, Dennis Chin‐Tou; Chan, W H; Chan, Siu On; Chow, Tam‐Lin

doi:10.1016/j.ijscr.2017.08.019

Cited by 9 publications

(4 citation statements)

References 11 publications

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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: 59%

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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Section: Discussionmentioning

confidence: 59%

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

et al. 2020

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“…Potential complications related to urinary bladder mobilization include bladder injury, urinary retention, and hematoma. Regarding the mesh, Kok et al described a urinary bladder erosion, with fistulation to the abdominal wall resulting in necrotizing fasciitis [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Intraperitoneal Onlay Mesh (IPOM) “Swiss Cheese” Ventral Incisional Hernia Repair with Urinary Bladder Mobilization: A Case Report

Grapotte

Cimpean

2022

Am J Case Rep

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Patient: Female, 57-year-old Final Diagnosis: Incisional hernia treatment • swiss cheese hernia treatment Symptoms: Abdominal pain Medication:— Clinical Procedure: Parietal Surgery procedure Specialty: Surgery Objective: Rare coexistence of disease or pathology Background: Incisional hernias (IH) are a common problem worldwide. The development of IH is influenced by factors related to the patient, the operative technique, and the suture material. In the treatment of ventral incisional hernias, laparoscopic IPOM and open sublay mesh repair are the most common techniques used for primary and recurrent hernias, with comparable short- and long-term outcomes. Case Report: We report a case of a pubo-umbilical “swiss cheese” IH treated by laparoscopy with the placement of a nonresorbable mesh in intraperitoneal position. The urinary bladder was mobilized for a convenient mesh fixation and sutured to the mesh in the previous anatomical position, at the level of the upper peritoneal layer. “Swiss cheese” hernia is a particular form of IH, characterized by the presence of multiple small defects. Laparoscopic intraperitoneal onlay mesh (IPOM) IH repair for defects under 10 cm is a reliable alternative to open ventral hernia repair. Transfascial sutures represent a simple solution for the defect closure and are associated with lower incidence of seroma and recurrence. The use of a mesh allows improving the muscle functionality and preventing hernia recurrence and also is associated with reduced recurrence rates compared to primary suture repair and additionally provides superior mechanical stability. Conclusions: In case of pubo-umbilical medial “swiss cheese” IH, mobilization of the urinary bladder is necessary and allows a complete abdominal wall approximation and convenient mesh placement.

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“…According to the data (10) every year more than 20 million patients undergo hernia repair. Just like any invasive intervention hernia repair is associated with several complications, such as migration of the mesh into the ab- dominal cavity (11,12), development of persistent seroma posterior (13)(14)(15), development of chronic pain (16,17), and surgical infection. Although incisional hernia repair is classified as a clean surgery, it still has a high incidence of surgical site infection (SSI) (0.7%-26.6%).…”

Section: Discussionmentioning

confidence: 99%

Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

Пантелеев

Заварухин²,

Pogorelova³

et al. 2019

Serbian Journal of Experimental and Clinical Research

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Th e purpose of this research is to analyze early and postponed complications of the new method to eliminate mesh implants during full-grown infection process.Th e Republican clinical hospital (Russia) was the location to carry out a post-hoc analysis of 149 cases on surgical removal of infected mesh implants for ventral hernias of different localization in the period 2000 to 2017. Th e control group were 78 patients who underwent meshes removal with traditional surgical instruments. Th e study group included 71 patients, who underwent our method of supra-sonic excision of the implants.Th e duration of surgery in the group of patients subjected to supra-sonic excision of the implants was signifi cantly lower (84.3 min vs. 141.5 min) than in the group of traditional surgical techniques. Complications of early postoperative period was most often registered in the control group: foreign bodies (92.8% vs. 7.2%), infection (81.8% vs. 18.2%) and bleeding (87.5% vs. 12.5%). In the long term the recurrence of hernias in the control group were detected 1.8 times more frequently for ventral hernias than in the group of supra-sonic excision of the implants.Th us, supra-sonic excision of the implant prevents damage to viable tissues of the abdominal wall during the allocation of the implant and provides a good bactericidal eff ect, which promotes normal tissue regeneration and prevents possible recurrence of the herniation. Keywords: hernias, suprasonic excision of infected mesh, early and late outcome SAŽETAKCilj ovog istraživanja je analiza ranih i odloženih komplikacija novog metoda za eliminaciju mrežnih impantata tokom celokupnog procesa infekcije.Republička klinička bolnica (Rusija) je predstavljala lokaciju sprovođenje post-hoc analize 149 slučajeva hirurškog uklanjanja infi ciranih mrežnih impantata ventralnih kila različite lokalizacije u periodu od 2000. do 2017. Kontrolnu grupu je činilo 78 pacijenata kod kojih je mrežica uklonjena tradicionalnim hirurškim instrumenti. Eksperimentalna grupa se sastojala od 71 pacijenta koji su bili podvrgnuti našem metodu suprazvučne ekscizije impantata.Trajanje hirurške intervencije u grupi pacijenata podvrgnutih suprazvučnoj eksciziji implantata značajno je bila niža (84,3 min naspram 141,5 min) nego u grupi u kojoj su korišćene tradicionalne hirurške tehnike. Komplikacije ranog postoperativnog perioda su najčešć e registrovane u kontrolnoj grupi: strana tela (92,8% naspram 7,2%), infekcija (81,8% naspram 18,2%) i krvarenje (87,5% naspram 12,5%). U pogledu kasnih ishoda ponovna pojava kila u kontrolnoj grupi je zabeležena 1.8 puta češć e nego u grupi sa suprazvučnom ekscizijom implantata.Prema tome, suprazvučna ekscizija implantata prevenira ošteć enja tkiva abdominalnog zida prilikom ugradnje implantata i pruža dobar baktericidni efekat, što stimuliše normalnu regeneraciju tkiva i sprečava moguć unost ponovne pojave kila.Ključne reči: kila, suprazvučna ekscizija infi cirane mreže, rani i kasni ishodi

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Mesh erosion to urinary bladder causing fistulation to abdominal wall resulting in necrotizing fasciitis: A case report of late complication of incisional hernia

Cited by 9 publications

References 11 publications

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

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

Laparoscopic Intraperitoneal Onlay Mesh (IPOM) “Swiss Cheese” Ventral Incisional Hernia Repair with Urinary Bladder Mobilization: A Case Report

Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

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