Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report.
Tension-free and sutureless hernioplasty by plug and mesh of nonreabsorbable material is one of the most common techniques for inguinal hernia repair. It's a simple and quick procedure with a low cost and allows for a short hospital stay. It shows a low reoccurrence rate, but it can result, in very few cases, in complications strictly related to prosthetic material. The literature describes some cases of plug migration from its proper position, for example, to the scrotum, preperitoneal adipose tissue, and abdominal cavity. We report on a case of sigmoid colon perforation due to a plug of Trabucco hernioplasty performed 2 years previously.
Istituto di Chirurgia Generale e dei Trapianti d'Organo Chirurgia Gastroenterologica e Mammaria, IRCCS Policlinico S. Matteo Università degli Studi di Pavia, P.le Golgi 2, 27100 Pavia, Italy. mariobene@libero.it
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D000368:Aged; D012809:Colon, Sigmoid; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D008297:Male; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed