Intraperitoneal coated polypropylene hernia meshes: the dark side of the moon

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Published: Nov 3, 2014
Keywords:
Hernia complications, Polypropylene coated hernia mesh, Small bowel obstruction, Small bowel resection, Umbilical hernia

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Vincenzo Davide Palumbo
Department of Surgical, Oncological and Stomatological Disciplines, School of Medicine, University of Palermo, Italy; Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo, Italy
Antonio Bruno
Department of Surgical, Oncological and Stomatological Disciplines, School of Medicine, University of Palermo, Italy; Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo, Italy
Giuseppe Damiano
Department of Surgical, Oncological and Stomatological Disciplines, School of Medicine, University of Palermo, Italy
Giovanni Tomasello
Department of Surgical, Oncological and Stomatological Disciplines, School of Medicine, University of Palermo, Italy; Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo, Italy
Anna Martorana
Department of Health Promotion Sciences “G. D’Alessandro”, University of Palermo, Italy
Attilio Ignazio Lo Monte
Department of Surgical, Oncological and Stomatological Disciplines, School of Medicine, University of Palermo, Italy

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 year 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 years 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 demonstrated 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 mesh.

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How to Cite
Palumbo, Vincenzo Davide, et al. “Intraperitoneal Coated Polypropylene Hernia Meshes: The Dark Side of the Moon”. Annali Italiani Di Chirurgia, vol. 3, no. November, Nov. 2014, pp. 1-4, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1388.
Issue
Vol. 3 No. November (2014)
Section
Case Report