Zhang Yu, Lin Han, Liu Jia-Ming, Wang Xin, Cui Yi-Feng, Lu Zhao-Yang
Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
World J Gastrointest Surg. 2023 Feb 27;15(2):294-302. doi: 10.4240/wjgs.v15.i2.294.
In recent years, mesh has become a standard repair method for parastomal hernia surgery due to its low recurrence rate and low postoperative pain. However, using mesh to repair parastomal hernias also carries potential dangers. One of these dangers is mesh erosion, a rare but serious complication following hernia surgery, particularly parastomal hernia surgery, and has attracted the attention of surgeons in recent years.
Herein, we report the case of a 67-year-old woman with mesh erosion after parastomal hernia surgery. The patient, who underwent parastomal hernia repair surgery 3 years prior, presented to the surgery clinic with a complaint of chronic abdominal pain upon resuming defecation through the anus. Three months later, a portion of the mesh was excreted from the patient's anus and was removed by a doctor. Imaging revealed that the patient's colon had formed a t-branch tube structure, which was formed by the mesh erosion. The surgery reconstructed the structure of the colon and eliminated potential bowel perforation.
Surgeons should consider mesh erosion since it has an insidious development and is difficult to diagnose at the early stage.
近年来,由于复发率低和术后疼痛轻,补片已成为造口旁疝手术的标准修复方法。然而,使用补片修复造口旁疝也存在潜在风险。其中一个风险是补片侵蚀,这是疝修补术后,尤其是造口旁疝修补术后一种罕见但严重的并发症,近年来已引起外科医生的关注。
在此,我们报告一例67岁女性造口旁疝修补术后发生补片侵蚀的病例。该患者3年前接受了造口旁疝修补手术,恢复经肛门排便后因慢性腹痛到外科门诊就诊。3个月后,一部分补片从患者肛门排出,由医生取出。影像学检查显示患者的结肠形成了一个T形分支管状结构,这是由补片侵蚀造成的。手术重建了结肠结构,消除了潜在的肠穿孔。
由于补片侵蚀发展隐匿且早期难以诊断,外科医生应予以考虑。