Small bowel obstruction caused by mesh migration. Case report

Olmi, Stefano and Uccelli, M. and Cesana, G. and Ciccarese, Francesca and Carrieri, D. and Castello, G. and Legnani, Gian Luca (2013) Small bowel obstruction caused by mesh migration. Case report. Il giornale di chirurgia, 34 (3). pp. 70-73. ISSN 1971-145X

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Introduction. Endoscopic hernia repair methods have become increasingly popular over the past 15 years. Nonetheless, there is no consensus regarding an optimal fixation method. Transabdominal sutures and titanium tacks or staples are the most traditional ones. Case report. We present a case of mechanic small bowel obstruction due to mesh migration occurring one year and a half after incisional hernia repair with polytetrafluoroethylene mesh fixed by spiral tacks. Discussion. Titanium spiral tacks are dangerous because of their sharp components, which can damage organs such as the small intestine, by causing microperforations. The type of prosthesis used has also contributed to the intraluminal migration, since polytetrafluoroethylene mesh is very flexible and poorly integrates in the abdominal wall. Conclusion. A prosthesis of a different material combined with a different fixation system such as absorbable tacks, biological glue, or mechanical tacks without sharp components, would have obviated mesh migration. .

Item Type: Article
Uncontrolled Keywords: Mesh migration, Small bowel obstruction, Polytetrafluoroethylene
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 27 Oct 2016 08:44
Last Modified: 27 Oct 2016 08:44

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