Mesh plug repair: can we reduce the risk of plug erosion into the sigmoid colon?

Over the past three decades, the practice laparoscopic inguinal hernioplasty has gained momentum. Mesh migration after laparoscopic inguinal hernia repair is an uncommon mesh-related delayed complication which is more common after transabdominal preperitoneal repair as compared to total extraperitoneal (TEP) repair. We report the first case of mesh migration into the sigmoid colon after TEP presenting 10 years after surgery. A 72-year-old male presented with left iliac fossa pain and diffuse lump. His computed tomogram scan showed sigmoid colon adherent to internal oblique at the site of hernia repair with a collection containing air specks and calcification. A colonoscopy revealed mesh within the sigmoid colon. He had to undergo a sigmoidectomy with Hartmann's surgery for the same. Here, we discuss the implicated pathophysiology, management and prevention of mesh migration after laparoscopic inguinal hernioplasty with literature review.

show abstract

“…[ 3 ] The coexistence of diverticular disease of the sigmoid may act as a trigger for the development of erosion or fistula formation. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty – Report of a case and review of the literature

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Our patient's tract was found at 10 years postoperatively. A case of an incisional hernia with fistula to cecum [8], three cases of mesh migration to sigmoid with no evidence of fistula [4,13,14], a case of mesh migration to cecum with subsequent formation of colovesical fistula [15], and a case of mesh migration to the cecum with no evidence of remaining tract [16] were of interest but excluded from data points. Cecal involvement appears to be very rare, likely due to a few anatomical reasons.…”

Section: Discussionmentioning

confidence: 99%

A Case of an Anomalous Tract Involving the Cecum After Open Right Inguinal Hernia Repair

Broderick¹,

Siegel²

2022

Cureus

View full text Add to dashboard Cite

Inguinal hernia repair is a commonly performed surgical procedure and generally is well tolerated with minimal complications. We present the case of a 70-year-old male with an anomalous tract involving the subcutaneous tissue and cecum after an open right inguinal hernia repair via plug and patch approach. A partial cecectomy with appendectomy with excision of the tract was performed. While most complications are relatively minor and fistulas are quite rare, mesh migration is a possibility that should be considered during preoperative planning for recurrent hernia surgery.

show abstract

“…Clinical presentation was often similar to diverticulosis of the sigmoid. The coexistence of diverticular disease of the sigmoid could act as a trigger event for the development of mesh migration . At colonoscopy, acute inflammation and thickening of the sigmoid wall were present in many cases, while endoscopy was inconclusive in others and was unable to characterize the lesion.…”

mentioning

confidence: 99%

Mesh migration into the large bowel following inguinal hernia repair. A new task for the colorectal surgeon?

et al. 2018

Self Cite

View full text Add to dashboard Cite

Mesh plug repair: can we reduce the risk of plug erosion into the sigmoid colon?

Cited by 17 publications

References 8 publications

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty – Report of a case and review of the literature

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty – Report of a case and review of the literature

A Case of an Anomalous Tract Involving the Cecum After Open Right Inguinal Hernia Repair

Mesh migration into the large bowel following inguinal hernia repair. A new task for the colorectal surgeon?

Contact Info

Product

Resources

About