Small Bowel Volvulus Caused by Migrating Mesh Plug

Abstract

The choice of material and technique for repair of inguinal hernias is broad. The mesh plug technique has become one of these techniques. The local complications of this technique are well known and include entrapment and damage of nervous and reproductive structures causing pain and even infertility. Migration of the mesh recently has become evident. We found a few cases of migrating mesh plug in the literature. We report a 76-year-old male patient who presented during admission for a neurosurgical procedure. His hospital course was complicated by migrating mesh eroding into the small intestine presenting as a small bowel obstruction. During exploratory laparotomy, a small bowel volvulus was found and reduced along with resection of the bowel–mesh complex. We discuss and review this technique's complications, including a 9-year review of adverse events reported to the U.S. Food and Drug Administration.

Mesh Plug Migration Into the Ileum 11 Years After Open Inguinal Hernia Repair: A Rare Case Report and Literature Review

“…From 2000 to 2016, complications after mesh plug hernia repair related to organ penetration were reported in 13 cases, including ours (Table 1). [4][5][6][7][8][9][10][11][12][13][14][15] The average patient age was 66.8 years (range: 30-85 years old), and there were 12 males. The average duration from hernia repair was 6.5 years (range: 2-20 years).…”

Acute Appendicitis Caused by the Migration of the Prosthetic Mesh Used for Open Indirect Inguinal Hernia Repair into the Peritoneal Cavity

“…More common complications that arise from such erosions include abscesses, adhesions, bowel obstruction, fistulous tracts and infections. 17,19,[21][22] In laparoscopic abdominal wall hernia surgery, the biomaterial used for repair is considered to affect the degree and extent of interaction with the surrounding tissues. Monofilament polypropylene and multifilament polyester meshes have higher complication rates compared to double-filament or expanded polytetrafluoroethylene meshes.…”

Usefulness of the Twinkling Artifact in Identifying Implanted Mesh After Inguinal Hernia Repair

“…Recurrent hernias are almost always found at the edge of implanted mesh. Mesh may become infected, migrate, 10 – 14 or impinge on adjacent structures 15 , 16 . Hematomas 17 – 19 or seromas 20 may develop, and the bowel may become adherent to the undersurface of the implanted mesh 21 .…”