A rare complication of prosthetic mesh repair of a ventral incisional hernia: erosion and enterocutaneous fistula formation

Sridhar Reddy M.; Naresh M.; Alok Rath; Saleem M. A.

doi:10.18203/2349-2902.isj20180847

Authors

Sridhar Reddy M. Department of General Surgery, Care Hospital, Banjara Hills, Hyderabad, Telangana, India
Naresh M. Department of General Surgery, Care Hospital, Banjara Hills, Hyderabad, Telangana, India
Alok Rath Department of General Surgery, Care Hospital, Banjara Hills, Hyderabad, Telangana, India
Saleem M. A. Department of General Surgery, Care Hospital, Banjara Hills, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20180847

Keywords:

Erosion, Hernia, Mesh migration

Abstract

Recurrence of hernia has significantly reduced with mesh repair. But mesh is a foreign material which has its own complications like haematoma, infection, sinus formation, mesh migration and erosion. Mesh migration and erosion although rare, is a challenging complication which requires surgical intervention. There are very few such mesh related complications reported in the literature. Authors report a case of mesh erosion resulting in chronic infection and formation of enterocutaneous fistula following incisional hernia repair 5 years after surgery. In this case small bowel segment containing mesh was resected and primary anastomosis was done. Migration of mesh also depends on the nature of mesh (biomaterial) and type of fixation. Although many techniques of hernia repair have been described (open or laparoscopic) care must be taken to fix the mesh to abdominal wall for prevention of delayed complications. Different techniques of repair, types of meshes have been discussed to prevent such complications.

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