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Updated: May 12, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Published on: September 11, 2021

Small bowel obstruction caused by mesh migration. Case report.

S Olmi¹, M Uccelli, G O Cesana

¹San Marco Hospital General Surgery Department, Zingonia, Italy.

Il Giornale Di Chirurgia

|April 13, 2013

Summary

This summary is machine-generated.

Titanium spiral tacks used in endoscopic hernia repair can cause serious complications like bowel obstruction due to mesh migration. Safer fixation methods are needed to prevent these dangerous outcomes.

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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

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Published on: December 23, 2022

Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Endoscopic hernia repair is increasingly common, but optimal fixation methods remain debated.
Traditional fixation methods include transabdominal sutures and titanium tacks or staples.

Observation:

A case of mechanical small bowel obstruction is presented.
The obstruction occurred 1.5 years after incisional hernia repair using polytetrafluoroethylene mesh secured with spiral tacks.

Findings:

Titanium spiral tacks pose a risk due to sharp components that can perforate adjacent organs, such as the small intestine.
The flexibility of polytetrafluoroethylene mesh and its poor integration with the abdominal wall contributed to intraluminal migration.

Implications:

Alternative fixation methods like absorbable tacks, biological glue, or non-sharp mechanical tacks are recommended.
Choosing appropriate mesh materials and fixation systems is crucial to prevent mesh migration and related complications.