title: Central mesh failure after laparoscopic IPOM procedure.
abstract: Central mesh failure after laparoscopic repair of a ventral hernia is a rare finding. We present a case of a 42-year-old man with clear umbilical hernia recurrence 4 years after IPOM procedure with an oxidized cellulose composite polypropylene mesh, using the double crown technique. Laparoscopy showed that a segment of small intestine herniated through a central defect in the prosthesis. A primary repair of the umbilical hernia recurrence was performed through a small transverse infraumbilical incision suturing both the fascia and mesh with interrupted non-resorbable monofilament sutures. A plausible explanation for this type of recurrence might be that the center of the mesh was further torn after an initial (micro) trauma induced by the tackers used for fixation.
authors.affiliation: a Department of General Surgery , OLV van Lourdes , Waregem , Belgium.
authors.forename: Jeroen
authors.initials: J
authors.lastname: Van Besien
authors.affiliation: a Department of General Surgery , OLV van Lourdes , Waregem , Belgium.
authors.forename: Koen
authors.initials: K
authors.lastname: Vindevoghel
authors.affiliation: a Department of General Surgery , OLV van Lourdes , Waregem , Belgium.
authors.forename: Casper
authors.initials: C
authors.lastname: Sommeling
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006554:Hernia, Umbilical / Q000175:diagnosis / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D012086:Reoperation / Q000379:methods; D013526:Surgical Mesh / Q000009:adverse effects*; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: Central mesh failure; Hernia; IPOM procedure