Background: To date, the use of meshes in repairing abdominal wall defects has brought many advantages, especially in terms of recurrence prevention, but it is not exempt from complications, such as chronic pain, entero-cutaneous fistulas and intestinal obstruction. Here we report a case of intestinal obstruction in a patient with a large umbilical hernia treated laparoscopically by means of a composite polypropylene mesh, six years before. Case Report: a 49-year-old man came to our care with a 3-day history of central and right lower abdominal quadrant pain and a clinical picture of intestinal obstruction. Six year before the patient underwent a laparoscopic intervention to repair his umbilical hernia, with the positioning of a polypropylene coated mesh. Abdominal ultrasonography (US) confirmed the obstruction and demostrated adhesions between an intestinal loop and the mesh. Intraoperatively, obstruction was confirmed and an intestinal segment had to be resected. Conclusions: Small bowel obstruction is an uncommon but possible late complication after laparoscopic hernia repair with coated polypropylene coated mesh.

Palumbo, V.D., Bruno, A., Damiano, G., Tomasello, G., Martorana, A., Lo Monte, A.I. (2014). INTRAPERIOTONEAL COATED POLYPROPYLENE HERNIA MESHES: THE DARK SIDE OF THE MOON. ANNALI ITALIANI DI CHIRURGIA, 1-4.

INTRAPERIOTONEAL COATED POLYPROPYLENE HERNIA MESHES: THE DARK SIDE OF THE MOON

PALUMBO, Vincenzo Davide;DAMIANO, Giuseppe;TOMASELLO, Giovanni;MARTORANA, Anna;LO MONTE, Attilio Ignazio
2014-01-01

Abstract

Background: To date, the use of meshes in repairing abdominal wall defects has brought many advantages, especially in terms of recurrence prevention, but it is not exempt from complications, such as chronic pain, entero-cutaneous fistulas and intestinal obstruction. Here we report a case of intestinal obstruction in a patient with a large umbilical hernia treated laparoscopically by means of a composite polypropylene mesh, six years before. Case Report: a 49-year-old man came to our care with a 3-day history of central and right lower abdominal quadrant pain and a clinical picture of intestinal obstruction. Six year before the patient underwent a laparoscopic intervention to repair his umbilical hernia, with the positioning of a polypropylene coated mesh. Abdominal ultrasonography (US) confirmed the obstruction and demostrated adhesions between an intestinal loop and the mesh. Intraoperatively, obstruction was confirmed and an intestinal segment had to be resected. Conclusions: Small bowel obstruction is an uncommon but possible late complication after laparoscopic hernia repair with coated polypropylene coated mesh.
Settore MED/18 - Chirurgia Generale
www.annitalchir.com
Palumbo, V.D., Bruno, A., Damiano, G., Tomasello, G., Martorana, A., Lo Monte, A.I. (2014). INTRAPERIOTONEAL COATED POLYPROPYLENE HERNIA MESHES: THE DARK SIDE OF THE MOON. ANNALI ITALIANI DI CHIRURGIA, 1-4.
File in questo prodotto:
File Dimensione Formato  
Intraperitoneal coated hernia meshes. Annali Italiani Chir. 2014.pdf

accesso aperto

Dimensione 968.15 kB
Formato Adobe PDF
968.15 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/104780
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 4
  • ???jsp.display-item.citation.isi??? ND
social impact