Sahoo Manash Ranjan, Bisoi Suryakanta, Mathapati Santosh
Department of General Surgery, Sriram Chandra Bhanja Medical College and Hospital, Cuttack, Odisha, India.
J Minim Access Surg. 2013 Jan;9(1):40-1. doi: 10.4103/0972-9941.107139.
Polypropylene mesh when used in laparoscopic ventral hernia repair can produce the worst complication such as enterocutaneous fistula. We report an interesting case of incisional hernia operated with laparoscopic polypropylene mesh hernioplasty who subsequently developed an enterocutaneous fistula 1 month after surgery. A fistulogram showed dye entering into the transverse colon. On exploration, the culprit polypropylene mesh was found to have eroded into the mid-transverse colon causing the fistula. Resection and end-to-end anastomosis of the colon were done with the removal of the mesh. On literature review, polypropylene mesh erosion in to transverse colon is rare.
聚丙烯补片用于腹腔镜腹疝修补术时可能会产生诸如肠皮肤瘘等最严重的并发症。我们报告了一例有趣的病例，该患者接受腹腔镜聚丙烯补片疝修补术治疗切口疝，术后1个月出现肠皮肤瘘。瘘管造影显示造影剂进入横结肠。经探查，发现有问题的聚丙烯补片已侵蚀至横结肠中部，导致瘘管形成。切除结肠并进行端端吻合，同时取出补片。经文献检索，聚丙烯补片侵蚀至横结肠的情况较为罕见。
