title: An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair.
abstract: Mesh repair of incisional hernia is recommended to reduce recurrence. Recognized complications include mesh infection and fistula. Composite meshes with antiadhesive barriers were designed for intraperitoneal placement to reduce adhesion formation and fistulization to the viscera. Transmural mesh migration is a rare complication of hernia repair with composite mesh and can be present with a variety of symptoms. We report an interesting case of transmural mesh migration into the small bowel presenting with chronic microcytic anemia and abdominal pain 5 years after laparoscopic incisional hernia repair with a composite polypropylene/ePTFE mesh.
authors.affiliation: Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada.
authors.forename: G
authors.initials: G
authors.lastname: Voisard
authors.forename: L S
authors.initials: LS
authors.lastname: Feldman
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000740:Anemia / Q000209:etiology; D003082:Colectomy / Q000379:methods; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011475:Prosthesis Failure / Q000009:adverse effects / Q000209:etiology; D013526:Surgical Mesh / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome