Picchio Marcello, Muggianu Andrea, Mancini Francesca, Tintisona Orlando, Spaziani Erasmo
a Department of Surgery (Chief Dr. Claudio Mascetti) , "P. Colombo" Hospital , Velletri , Rome , Italy.
b Department of Anesthesiology and Intensive Care (Chief Dr. Maurizio Capogrossi) , "P. Colombo" Hospital , Velletri , Rome , Italy.
Acta Chir Belg. 2017 Apr;117(2):118-121. doi: 10.1080/00015458.2016.1229399. Epub 2016 Sep 9.
Mesh migration into the intestine is very rare after incisional hernia repair.
We report the case of transmural mesh migration from the abdominal wall into the small bowel presenting as recurrent small bowel obstruction 18 years after repeated surgical repair of an incisional ventral hernia. At surgery, a mesh was found inside the resected ileal loop.
Mesh migration into the intestine is a possible, although very rare, complication after incisional hernia repair with nonabsorbable meshes. It tends to occur late with obstructive symptoms, especially if the small intestine is involved. Avoiding the direct contact between the mesh and the intestinal wall may help to reduce this complication.
切口疝修补术后补片移入肠道极为罕见。
我们报告一例经多次手术修复腹壁切口疝18年后，补片经壁层从腹壁移入小肠，表现为复发性小肠梗阻的病例。手术时，在切除的回肠袢内发现一块补片。
使用不可吸收补片进行切口疝修补术后，补片移入肠道是一种可能出现的并发症，尽管非常罕见。它往往在后期出现梗阻症状，尤其是当小肠受累时。避免补片与肠壁直接接触可能有助于减少这种并发症。
