Unusual complication of seroma after ventral hernia mesh repair: digestive perforation by tacks. A case report
We report the case of a patient who underwent a laparoscopic mesh repair for incisional hernia. He developed an infected bulky seroma for which he had to undergo medical treatment and percutanous drainage in order to avoid the mesh removal. The evolution seemed to be favorable until the occurrence of an unusual and unexpected complication: a digestive fistula of the small bowel in the seroma cavity via a tack adhering to the intestines.The possibility of digestive lesions by a tack is reported by some cases reports. It seems most often to be related to a technical problem. In our case, this adhesion seems to be secondary t...
Source: International Journal of Surgery Case Reports - November 2, 2018 Category: Surgery Source Type: research
Why we remove mesh
ConclusionsThis is the largest and most comprehensive study detailing why we remove mesh. We provide awareness of indications and operative options to help guide physicians as they encounter patients who may require hernia mesh removal. (Source: Hernia)
Source: Hernia - October 31, 2018 Category: Sports Medicine Source Type: research
Critical evaluation of an innovative mesh for bilateral transabdominal preperitoneal (TAPP) repair of inguinal hernias
ConclusionTreatment of bilateral inguinal hernias with the newly designed bilateral mesh for TAPP theoretically brings benefits in terms of resistance to forces acting on the mesh. The larger area may decrease the risk for mesh bulging and recurrence, and one large mesh might provide more stable support than two separate meshes overlapping at the midline. The results of our study do not confirm these theoretical benefits regarding a high recurrence rate (2.8%) after treatment of medial hernia defects. We recommend re-designing the mesh with only a small central slit, which would provide a broader mesh bridge with sufficien...
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research
Causes of recurrence in laparoscopic inguinal hernia repair
ConclusionsRecurrence can occur at any stage following inguinal hernia surgery. Patients ’ risk factors such as higher BMI, smoking, diabetes and postoperative surgical site infections increase the risk of recurrence and can be modified. Amongst the surgical factors, surgeon’s experience, larger mesh with better tissue overlap and careful surgical techniques to reduce the incidence of seroma or hematoma help reduce the recurrence rate. Other factors including type of mesh and fixation of mesh have not shown any difference in the incidence of recurrence. It is hoped that future randomized controlled trials will address ...
Source: Hernia - August 25, 2018 Category: Sports Medicine Source Type: research
Male Fertility After Inguinal Hernia Mesh Repair: A National Register Study
Conclusions:
Patients who underwent inguinal hernia repair using Lichtenstein technique or laparoscopic approach did not father fewer children than expected. Thus, inguinal hernia repair using Lichtenstein or laparoscopic approach did not impair male fertility. (Source: Annals of Surgery)
Source: Annals of Surgery - July 11, 2018 Category: Surgery Tags: Original Articles Source Type: research
Critical evaluation of an innovative mesh for bilateral transabdominal preperitoneal (TAPP) repair of inguinal hernias
ConclusionTreatment of bilateral inguinal hernias with the newly designed bilateral mesh for TAPP theoretically brings benefits in terms of resistance to forces acting on the mesh. The larger area may decrease the risk for mesh bulging and recurrence, and one large mesh might provide more stable support than two separate meshes overlapping at the midline. The results of our study do not confirm these theoretical benefits regarding a high recurrence rate (2.8%) after treatment of medial hernia defects. We recommend re-designing the mesh with only a small central slit, which would provide a broader mesh bridge with sufficien...
Source: Hernia - June 5, 2018 Category: Sports Medicine Source Type: research
Sirolimus-coated, poly( l -lactic acid)-modified polypropylene mesh with minimal intra-peritoneal adhesion formation in a rat model
ConclusionsThe SRL-coated composite mesh showed minimal formation of intra-abdominal adhesions in a rat model of abdominal wall defect repair. (Source: Hernia)
Source: Hernia - May 18, 2018 Category: Sports Medicine Source Type: research
Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis
The aim of this study was to systematically review the available clinical trials examining male infertility after inguinal hernias were repaired using mesh procedures. (Source: Reproductive Health)
Source: Reproductive Health - April 23, 2018 Category: OBGYN Authors: Zhiyong Dong, Stacy Ann Kujawa, Cunchuan Wang and Hong Zhao Tags: Review Source Type: research
The GroinPain Trial: A Randomized Controlled Trial of Injection Therapy Versus Neurectomy for Postherniorraphy Inguinal Neuralgia
Conclusion:
A tailored neurectomy is 3 times more effective than tender point infiltration in chronic inguinodynia after anterior inguinal hernia mesh repair. A step up treatment stratagem starting with tender point infiltration followed by a tailored neurectomy is advised. (Source: Annals of Surgery)
Source: Annals of Surgery - April 12, 2018 Category: Surgery Tags: Randomized Controlled Trials Source Type: research
Nonhealing Gastric Ulcer Due to Mesh Eroding Through Gastric Wall
A 57-year-old woman with a history of multiple ventral hernia mesh repairs, with the most recent hernia repair 2 years ago, and a nonhealing gastric ulcer for the past 8 months (Figure A, white arrow) presented with acute onset of abdominal pain, nausea, vomiting, swelling, and redness in the midabdomen for the past 3 days. A computed tomography scan of the abdomen showed prior ventral abdominal wall hernia mesh repair with development of an abscess within the subcutaneous tissues of the anterior abdominal wall (Figure B, red arrow) in addition to a possible intra-abdominal fistulous communication where the stomach abuts...
Source: Clinical Gastroenterology and Hepatology - March 22, 2018 Category: Gastroenterology Authors: Ramprasad Jegadeesan, Tharani Sundararajan, Scott W. Grisolano Tags: Electronic Image of the Month Source Type: research
Tension pneumoperitoneum after surgery for endometrial cancer and hernia in a morbidly obese female: a case report
ConclusionsTension pneumoperitoneum, which may result from the valve effect of unhealed abdominal mesh, could develop after gynecological surgery and hernia mesh repair in obese patients. Under these conditions, emergency drainage of the intra-abdominal gas by catheter insertion is sufficient to relieve the abdominal pressure and correct the conditions, while emergency laparotomy as in visceral perforation is unnecessary and may increase patient morbidities. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 20, 2018 Category: General Medicine Source Type: research
Laparoscopic management of large hiatal hernia: mesh method with the use of ProGrip mesh versus standard crural repair
ConclusionIn conclusion, this study confirms that laparoscopic repair of large hiatal hernias is effective and durable over a long period of time. Reinforcement of crura repair with ProGrip ™ mesh is safe and can prevent anatomical recurrences. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 8, 2018 Category: Surgery Source Type: research
Modifying Hernia Mesh Design to Improve Device Mechanical Performance and Promote Tension-Free Repair
Approximately 348,000 ventral hernia repairs are performed annually in the United States and the incisional hernia recurrence rate is approximately 20% as a result of suture and mesh device failure. Device failure is related to changes at the suture/tissue interface that leads to acute or chronic suture pull-through and surgical failure. To better manage mechanical tension, we propose a modified mesh design with extensions and demonstrate its mechanical superiority. (Source: Journal of Biomechanics)
Source: Journal of Biomechanics - February 2, 2018 Category: Biomedical Science Authors: Mohamed M. Ibrahim, Luke P. Poveromo, Richard R. Glisson, Agustin Cornejo, Alfredo E. Farjat, Ken Gall, Howard Levinson Source Type: research
Chronic pain, discomfort, quality of life and impact on sex life after open inguinal hernia mesh repair: an expertise-based randomized clinical trial comparing lightweight and heavyweight mesh
ConclusionThe Lichtenstein operation performed for primary inguinal hernia improves quality of life for most of the male patients, independently of the type of mesh used. The lightweight mesh group experienced less awareness of a groin lump and groin discomfort 1 year postoperatively.ClinicalTrials.gov Identifier: NCT00451893. (Source: Hernia)
Source: Hernia - January 20, 2018 Category: Sports Medicine Source Type: research
