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Mesh erosion into urinary bladder following laparoscopic inguinal hernia repair
Arjun Singh Sandhu1, Ameet Kumar2, Bharath N Kumar1
1Department of Urology, Army Hospital Research and Referral, New Delhi, India.
Abstract:
Along with advantages, evolving surgical techniques bring unique complications. A young male developed urinary symptoms a few months after undergoing laparoscopic inguinal hernia repair. On evaluation, mesh erosion into the urinary bladder was found. Removal of mesh with repair of bladder was done. A vesico-cutaneous fistula resulted which was managed with repeat surgery. We review all such cases reported in literature; discuss the etiopathogenesis, presentation, management and possible preventive measures. To the best of our knowledge, this is only the 12th case being reported.
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