Small bowel volvulus caused by migrating mesh plug.
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.
Stout
Christopher L
CL
Mercer University School of Medicine, Department of Surgery, Medical Center of Central Georgia, Macon, Georgia 31201, USA. stouter40@yahoo.com
Foret
Andrew
A
Christie
D Benjamin
DB
Mullis
Earl
E
D000368:Aged; D003937:Diagnosis, Differential; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; 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