Complete mesh migration into the small bowel after incisional hernia repair: a case report and literature review.
BACKGROUND
Mesh migration into the intestine is very rare after incisional hernia repair.


METHODS
We report the case of transmural mesh migration from the abdominal wall into the small bowel presenting as recurrent small bowel obstruction 18 years after repeated surgical repair of an incisional ventral hernia. At surgery, a mesh was found inside the resected ileal loop.


CONCLUSIONS
Mesh migration into the intestine is a possible, although very rare, complication after incisional hernia repair with nonabsorbable meshes. It tends to occur late with obstructive symptoms, especially if the small intestine is involved. Avoiding the direct contact between the mesh and the intestinal wall may help to reduce this complication.
a Department of Surgery (Chief Dr. Claudio Mascetti) , "P. Colombo" Hospital , Velletri , Rome , Italy.
Marcello
M
Picchio
a Department of Surgery (Chief Dr. Claudio Mascetti) , "P. Colombo" Hospital , Velletri , Rome , Italy.
Andrea
A
Muggianu
b Department of Anesthesiology and Intensive Care (Chief Dr. Maurizio Capogrossi) , "P. Colombo" Hospital , Velletri , Rome , Italy.
Francesca
F
Mancini
a Department of Surgery (Chief Dr. Claudio Mascetti) , "P. Colombo" Hospital , Velletri , Rome , Italy.
Orlando
O
Tintisona
c Department of Surgery , Sapienza University of Rome, Polo Pontino , Terracina , Latina , Italy.
Erasmo
E
Spaziani
D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007082:Ileum / Q000601:surgery; D000069290:Incisional Hernia / Q000601:surgery*; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D007813:Laparotomy / Q000379:methods; D035583:Rare Diseases; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome
Hernia; intestine; mesh; migration; repair; ventral