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Small bowel volvulus caused by migrating mesh plug.

Christopher L Stout1, Andrew Foret, D Benjamin Christie

  • 1Mercer University School of Medicine, Department of Surgery, Medical Center of Central Georgia, Macon, Georgia 31201, USA. stouter40@yahoo.com

The American Surgeon
|September 21, 2007
PubMed
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The mesh plug technique for inguinal hernia repair can lead to rare but serious complications, including mesh migration causing small bowel obstruction. This case highlights the importance of considering such adverse events in patient care.

Area of Science:

  • Surgical Innovation
  • Gastrointestinal Surgery
  • Medical Device Safety

Background:

  • Inguinal hernia repair offers various techniques, with the mesh plug method being one option.
  • While local complications of the mesh plug technique are documented, mesh migration is a less common but significant concern.

Observation:

  • A 76-year-old male patient developed small bowel obstruction due to mesh plug migration eroding into the small intestine.
  • The patient presented for a neurosurgical procedure, and the complication occurred during his hospital stay.

Findings:

  • Exploratory laparotomy revealed a small bowel volvulus, which was reduced. The bowel-mesh complex required resection.
  • A review of adverse events reported to the U.S. Food and Drug Administration over nine years was conducted to assess mesh plug complications.

Related Experiment Videos

Implications:

  • This case underscores the potential for severe complications, including gastrointestinal obstruction, from mesh migration after inguinal hernia repair.
  • Understanding and monitoring rare adverse events associated with surgical mesh implants is crucial for patient safety and improved surgical outcomes.