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CASE REPORT
Intraluminal mesh migration causing enteroenteric and enterocutaneous fistula: a case and discussion of the ‘mesh problem’
  1. Reeya Patel,
  2. Thomas H Reid,
  3. Sam G Parker,
  4. Alistair Windsor
  1. General Surgery, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Miss Reeya Patel, reeya.patel{at}nhs.net

Summary

The use of synthetic mesh in the abdominal compartment has recently become a topic of debate as high profile public cases have called into question their safety. Several case reports have demonstrated significant complications due to intra-abdominal mesh. Furthermore, some studies have suggested that the rates of these severe complications are underestimated. We present the case of a patient who developed an enteroenteric and enterocutaenous fistulae, an abdominal wall collection and an intraperitoneal inflammatory mass from intraluminal migration of a synthetic mesh inserted during laparoscopic incisional hernia repair. We discuss the considerations and complications of using synthetic mesh for ventral hernia repair and discuss the scientific evidence behind the increasingly apparent ‘mesh problem’.

  • gastrointestinal surgery
  • general surgery

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Footnotes

  • Contributors RP, THR and SGP have contributed towards a literature search on the complications of a mesh hernia repair in addition to the write- up of the case report and discussion. AW has performed the surgical procedure detailed within the case report and supervised the write-up of this case.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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