Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair

Background. Tension-free repair using mesh has become the standard treatment for abdominal wall incisional hernias. However, its postoperative complications reportedly include mesh infection, adhesions, and fistula formation in other organs. Here, we report an extremely rare case of mesh migration i...

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Autores principales:	Masatsugu Kuroiwa, Masato Kitazawa, Yusuke Miyagawa, Futoshi Muranaka, Shigeo Tokumaru, Satoshi Nakamura, Makoto Koyama, Yuta Yamamoto, Nao Hondo, Takehito Ehara, Satoru Miyazaki, Hirokazu Tanaka, Yuji Soejima
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/948fb7774e39492a9124438c2f197a0c
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spelling	oai:doaj.org-article:948fb7774e39492a9124438c2f197a0c2021-11-08T02:35:19ZMesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair2090-691910.1155/2021/5683621https://doaj.org/article/948fb7774e39492a9124438c2f197a0c2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/5683621https://doaj.org/toc/2090-6919Background. Tension-free repair using mesh has become the standard treatment for abdominal wall incisional hernias. However, its postoperative complications reportedly include mesh infection, adhesions, and fistula formation in other organs. Here, we report an extremely rare case of mesh migration into the neobladder and ileum with entero-neobladder and neobladder-cutaneous fistulas. Case Presentation. An 80-year-old male who had undergone radical cystectomy 5 years ago and abdominal wall incisional hernia repair 3 years ago presented with fever and abdominal pain. Computed tomography (CT) scan revealed mesh migration into the neobladder and ileum. He was treated conservatively with antibiotics for a month but did not show improvement; hence, he was transferred to our hospital. He was diagnosed with mesh migration into the neobladder and ileum with complicated fistula formation. He underwent mesh removal, partial neobladder resection, and partial small bowel resection. He developed superficial incisional surgical site infection, which improved with drainage and antibiotics, and he was discharged 40 days after the surgery. Conclusions. We reported a rare case of mesh migration into the neobladder and ileum with fistula formation. Successful conservative treatment cannot be expected for this condition because mesh migration into the intestinal tract causes infection and fistula formation. Hernia repair requires careful placement of the mesh such that it does not come into contact with the intestinal tract. Early surgical intervention is important if migration into the intestinal tract is observed.Masatsugu KuroiwaMasato KitazawaYusuke MiyagawaFutoshi MuranakaShigeo TokumaruSatoshi NakamuraMakoto KoyamaYuta YamamotoNao HondoTakehito EharaSatoru MiyazakiHirokazu TanakaYuji SoejimaHindawi LimitedarticleSurgeryRD1-811ENCase Reports in Surgery, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Masatsugu Kuroiwa Masato Kitazawa Yusuke Miyagawa Futoshi Muranaka Shigeo Tokumaru Satoshi Nakamura Makoto Koyama Yuta Yamamoto Nao Hondo Takehito Ehara Satoru Miyazaki Hirokazu Tanaka Yuji Soejima Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair
description	Background. Tension-free repair using mesh has become the standard treatment for abdominal wall incisional hernias. However, its postoperative complications reportedly include mesh infection, adhesions, and fistula formation in other organs. Here, we report an extremely rare case of mesh migration into the neobladder and ileum with entero-neobladder and neobladder-cutaneous fistulas. Case Presentation. An 80-year-old male who had undergone radical cystectomy 5 years ago and abdominal wall incisional hernia repair 3 years ago presented with fever and abdominal pain. Computed tomography (CT) scan revealed mesh migration into the neobladder and ileum. He was treated conservatively with antibiotics for a month but did not show improvement; hence, he was transferred to our hospital. He was diagnosed with mesh migration into the neobladder and ileum with complicated fistula formation. He underwent mesh removal, partial neobladder resection, and partial small bowel resection. He developed superficial incisional surgical site infection, which improved with drainage and antibiotics, and he was discharged 40 days after the surgery. Conclusions. We reported a rare case of mesh migration into the neobladder and ileum with fistula formation. Successful conservative treatment cannot be expected for this condition because mesh migration into the intestinal tract causes infection and fistula formation. Hernia repair requires careful placement of the mesh such that it does not come into contact with the intestinal tract. Early surgical intervention is important if migration into the intestinal tract is observed.
format	article
author	Masatsugu Kuroiwa Masato Kitazawa Yusuke Miyagawa Futoshi Muranaka Shigeo Tokumaru Satoshi Nakamura Makoto Koyama Yuta Yamamoto Nao Hondo Takehito Ehara Satoru Miyazaki Hirokazu Tanaka Yuji Soejima
author_facet	Masatsugu Kuroiwa Masato Kitazawa Yusuke Miyagawa Futoshi Muranaka Shigeo Tokumaru Satoshi Nakamura Makoto Koyama Yuta Yamamoto Nao Hondo Takehito Ehara Satoru Miyazaki Hirokazu Tanaka Yuji Soejima
author_sort	Masatsugu Kuroiwa
title	Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair
title_short	Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair
title_full	Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair
title_fullStr	Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair
title_full_unstemmed	Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair
title_sort	mesh migration into the neobladder and ileum with complicated fistula formation following incisional hernia repair
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/948fb7774e39492a9124438c2f197a0c
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Mesh Migration into the Neobladder and Ileum with Complicated Fistula Formation following Incisional Hernia Repair

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