Small bowel obstruction by mesh migration after umbilical hernia repair.
A case of intestinal obstruction due to mesh migration is described. A 61 year old patient affected by BPCO and chronic atrial fibrillation is admitted for mechanical intestinal obstruction. He underwent a umbilical hernia repair with mesh and omphalectomy 6 years before. Laparotomy revealed the obstruction due to an inflammatory block including polypropylene mesh penetrating an ileal loop. Intestinal resection and mechanical isoperistaltic L-L anastomosis is performed. The post-operative period is complicated by cardiorespiratory problems and the patient comes discharged in XVII day. The prosthesis migration after umbilical hernia repair is an event never described in the literature; instead rare cases of migration after inguinal hernia repair are reported. The pathophysiological mechanisms of this complication are not still cleared and that makes necessary a careful technique in the use of the hernia mesh.
Di Muria
Antonio
A
Department of Emergency, Unit of Emergency Surgery, San Giovanni Bosco Hospital, Naples, Italy. antoniodimuria@tiscali.it
Formisano
Vincenzo
V
Di Carlo
Filippo
F
Aveta
Achille
A
Giglio
Domenico
D
D005548:Foreign-Body Migration / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D019919:Prosthesis Implantation / Q000009:adverse effects; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome
D011126:Polypropylenes