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Updated: May 17, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Ventral hernia mesh tack causes liver hemorrhage
G Baltazar1, K Coakley, A Badiwala
1Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, NY, USA.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|October 19, 2012
Summary
Laparoscopic ventral hernia repair using mesh tacks can lead to unexpected complications. One patient experienced liver laceration and bleeding after a tack dislodged, highlighting the need for surgeon awareness and potential alternatives.
Area of Science:
- Minimally Invasive Surgery
- Surgical Complications
- Hernia Repair
Background:
- Laparoscopic ventral hernia repair is a common surgical procedure.
- This approach has been associated with unforeseen complications.
- Mesh tacking devices are frequently used in this procedure.
Observation:
- A patient developed liver laceration and hemorrhage post-laparoscopic ventral hernia repair.
- The complication arose from a partially dislodged mesh tacking device.
- The patient's symptoms were exacerbated by severe coughing due to pneumonia.
Findings:
- The dislodged tack's exposed blade caused significant liver damage and bleeding.
- Surgical intervention, including laparotomy and tack removal, was necessary.
- Literature review revealed limited but similar unexpected complications with tacking devices.
Implications:
- Surgeons must be aware of potential mesh tack complications in laparoscopic ventral hernia repair.
- Patient counseling regarding these risks is essential.
- Further investigation into tackless hernia repair methods may offer a safer alternative with comparable recurrence rates.
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