Mesh migration following abdominal hernia repair: a comprehensive review

Cunningham, Holly B.; Weis, Joshua J.; Taveras, Luis R.; Huerta, Sergio

doi:10.1007/s10029-019-01898-9

Cited by 38 publications

(34 citation statements)

References 37 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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“…Complications associated with the use of mesh are relatively rare, and the exact incidence of mesh migration from the abdominal wall to hollow viscus is not known because of the extreme rarity of its occurrence. Cunningham et al [ 6 ] defined “mesh migration” as invasion of an organ by the entire mesh; “mesh migration” is distinguished from “mesh erosion” in that “mesh erosion” is a partial displacement of the mesh into an organ with a portion remaining outside. According to a report based on an U.S. Food and Drug Administration database review, migration or erosion of mesh accounted for 2% of 252 major mesh-related complications following hernia repair [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Transmural Mesh Migration From the Abdominal Wall to the Rectum After Hernia Repair Using a Prolene Mesh: A Case Report

Lee

Bae

2021

Ann Coloproctol

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Mesh erosion or migration is a rare and late complication after hernia repair. Its incidence is increasing as the utilization of prosthetic mesh gains popularity for abdominal hernia repair. However, mesh migration is exceedingly rare and its clinical presentation is atypical and diverse. Therefore the management of mesh migration should be individualized to each patient. This research reports the case of a 94-year-old man with transmural migration of Prolene mesh from the abdominal wall to the rectum 14 years after incisional hernia repair. He presented with only chronic abdominal pain and constipation. Migration of the mesh and a fistula between the right abdominal wall and transverse colon was observed on computed tomography. The mesh was evacuated manually from the anus without any sequelae. These findings made this case atypical, since complete transluminal migration of mesh is exceedingly rare and mesh erosion or migration requires surgical treatment in many cases.

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“…The question of the need for fixation in laparoscopic inguinal hernia repair with mesh has been investigated previously. In laparoscopic groin hernia repairs, nonfixation of mesh is recommended by the HerniaSurge Group with the exception of large medial defects [12, 13]. It has to be mentioned that due to lack of documentation, we are not able to reveal whether our patient had a large medial hernia or not.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Abscesses and Destruction of Inguinal Canal with Mesh Dislocation caused by a Perforated Diverticulitis

Paasch

Renger

Baschinskij

et al. 2019

Case Reports in Surgery

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The diverticulitis is a frequent disease of the gastrointestinal tract. It may lead to a variety of severe complications. In some cases, it has to be surgically treated. Herein, we present a rare case of a 66-year-old man, who suffered from a painful, visible “fist sized” mass of the left lower abdomen. A perforated diverticulitis with abdominal, cutaneous abscesses and destruction of the inguinal canal with mesh dislocation was diagnosed and successfully surgically treated.

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Mesh migration following abdominal hernia repair: a comprehensive review

Cited by 38 publications

References 37 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

Transmural Mesh Migration From the Abdominal Wall to the Rectum After Hernia Repair Using a Prolene Mesh: A Case Report

Abdominal Abscesses and Destruction of Inguinal Canal with Mesh Dislocation caused by a Perforated Diverticulitis

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