Mesh Migration in to Colonic Lumen Post Abdominal Hernia Repair: A Case Report

Abstract

Incisional hernia formation following secondary to abdominal surgeries is a common complication. Laparoscopic mesh repair recently has gained significant publicity for such hernia repair. However, utilizing polypropylene mesh for incisional hernia repair, can lead to variety of complications from minor postoperative hematoma and seroma to mesh rejection and fistula formation. However, mesh migration is an infrequent occurrence and has been rarely reported in the literature. Additionally, review of literature shows mesh migration to urinary bladder, scrotum and caecal lumen. We present a case of delayed partialtrans mural mesh migration from the abdominal wall into colonic lumen, following laparoscopic mesh repair of abdominal incisional hernia. This is the first case of mesh migration that has been successfully managed conservatively.

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

“…However, the nature of the biomaterial is also important as it affects the extent and degree of interaction with the surrounding tissue. Biological agents are being used with increasing frequency in abdominal wall hernias, where they have been shown to reduce foreign body reaction and potential complications secondary to infections [14] . The size, shape and positioning of the mesh may also be significant.…”