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Updated: Jun 24, 2025
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Colocutaneous Fistula Formation Following Inguinal Hernia Repair: A Case Series
Nikolaos Koliakos1, Andrianos-Serafeim Tzortzis2, Dimitrios Papakonstantinou3
1Department of Abdominal Surgery, Erasme Hospital, Free University of Brussels (ULB), Brussels, BEL.
Cureus
|June 7, 2024
Summary
Mesh erosion into the intestines is a rare but serious complication following inguinal hernia repair. Prompt surgical intervention is crucial for patients experiencing symptoms or fistulization.
Area of Science:
- General Surgery
- Gastroenterology
Background:
- Mesh placement is standard for inguinal hernioplasty via open or transabdominal preperitoneal (TAPP) approaches.
- While generally safe, these procedures carry a risk of rare but severe visceral injuries.
Observation:
- Two male patients developed mesh-enterocutaneous fistulas years after inguinal hernia repair.
- One patient had a bilateral TAPP repair, the other an open mesh repair.
Findings:
- Mesh erosion into the intestinal tract occurred in both patients, necessitating extensive surgical intervention.
- Surgical management included mesh removal, colectomy, sigmoidectomy, and end-colostomy.
Implications:
- Clinicians must suspect mesh erosion in inguinal abscess cases, indicating potential intra-abdominal inflammation.
- Early diagnosis and surgical management are vital for symptomatic patients or those with fistulization.
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