1/11. Laparoscopic management of enterocutaneous fistula.Enterocutaneous fistulas develop in settings of prior abdominal surgery, inflammatory bowel disease, diverticulitis, radiation or malignancy. Traditional surgical management requires laparotomy with bowel resection and anastomosis and is associated with a high incidence of wound infection. Recent advances in instrumentation and accumulation of experience has allowed minimally invasive surgery to become an alternative and often preferred approach to handling complex surgical problems. We present a case of successful laparoscopic management of an enterocutaneous fistula that developed in the setting of prior colectomy and laparoscopic inguinal hernia repair with prosthetic mesh. laparotomy and its attending complications were avoided facilitating recovery and return to work.- - - - - - - - - - ranking = 1keywords = inguinal hernia, hernia (Clic here for more details about this article) |
2/11. Spontaneous scrotal faecal fistula in an infant.A 2-month-old, full-term male presented with a left scrotal faecal fistula due to spontaneous bursting of an incarcerated inguinal hernia for 8 days, with complete decompression of the small bowel through it. Resection and end-to-end anastomosis of the engaged ileal loop was successfully done after incising the ring via the inguinal approach. Only two such cases have been reported in the world literature to date.- - - - - - - - - - ranking = 1keywords = inguinal hernia, hernia (Clic here for more details about this article) |
3/11. Colocutaneous fistula due to polypropylene mesh.Fistulae due to polypropylene mesh are known to occur if the prosthetic mesh is placed close to a hollow viscus. Some cases of enterocutaneous fistula have been reported but there are few cases of fistula affecting the large bowel. It is important to recognize these cases because they are severe complications of the prosthesis and difficult to manage. We present a case of colocutaneous fistula caused by fragmentation of polypropylene mesh and erosion into the sigmoid colon after recurrent incisional hernia repair.- - - - - - - - - - ranking = 0.22554123051268keywords = hernia (Clic here for more details about this article) |
4/11. Entero-colocutaneous fistula: a late consequence of polypropylene mesh abdominal wall repair: case report and review of the literature.BACKGROUND: The underlying risk associated with visceral mesh erosion is the close opposition of adjacent intestines to the prosthetic graft. This highly morbid condition has been described with most types and techniques of abdominal wall mesh repair. PATIENT: We report the case of a 52-year-old man who presented with an entero-colocutaneous fistula 10 years after prosthetic mesh repair of an incisional hernia. The fistula was excised and the abdominal wall defect repaired with a tissue-impervious composite. CONCLUSIONS: The use of a tissue-impervious barrier avoids development of enteric fistula when a prosthesis is placed directly over the viscera.- - - - - - - - - - ranking = 0.22554123051268keywords = hernia (Clic here for more details about this article) |
5/11. Vesicocutaneous fistula: an unusual complication of inguinoscrotal hernia.Involvement of the urinary bladder in an inguinal hernia is common, but massive bladder hernia is rare. Most urinary bladder herniations are discovered and repaired during surgery. We report a case of large incarcerated inguino-scrotal hernia, which was reduced only to present as a scrotal abscess and vesicocutaneous fistula; an unusual complication. The patient was managed conservatively due to underlying comorbidities.- - - - - - - - - - ranking = 2.5787886135888keywords = inguinal hernia, hernia (Clic here for more details about this article) |
6/11. Late cutaneous fistulae after prosthetic hernia repair of the abdominal wall.Late cutaneous fistulae, after a hernioplasty operation for a hernia in the abdominal wall, represent an unusual complication. They can appear a considerable time after a hernioplasty operation and feature the presence of a fistula between the prosthesis and the cutaneous wall. The Authors report the cases of five patients who developed late cutaneous fistulae after an operation for the repair of a hernia of the abdominal wall and the treatment established in the end to correct the existing complication. All five patients were subjected to a second operation to achieve recovery. In fact, conservative medical treatment, before the operation, using antibiotic-therapy for this purpose proved to be ineffective. Only one patient developed hernia recurrence after surgical treatment. Late cutaneous fistulae represent a complication that is difficult to deal with as their treatment has yet to be clearly identified.- - - - - - - - - - ranking = 1.5787886135888keywords = hernia (Clic here for more details about this article) |
7/11. Thermal burns with injury to the intestine in a congenital hernia sac.It is unusual to have a bowel injury in association with thermal injury. It is even rarer to encounter a patient with cerebral palsy and thermal injury to an intestinal loop in a congenital hernia sac. A case report of such a child is presented and the management is discussed.- - - - - - - - - - ranking = 1.1277061525634keywords = hernia (Clic here for more details about this article) |
8/11. Mesh infections after laparoscopic inguinal hernia repair.Several complications like hematoma and seroma have been reported after laparoscopic inguinal hernia repair (LH). sepsis due to infection of the patch is an uncommon complication. In this retrospective trial, we evaluated three male patients who developed postoperative mesh infection after LH by transabdominal preperitoneal patch (TAPP) technique in two institutions. diagnosis was confirmed by clinical symptoms, signs, ultrasonography, and computerized tomography (CT), and definitive treatment was provided by removing the mesh. In the first case, mesh infection occurred 10 months after laparoscopic left inguinal hernia repair with TAPP for recurrence. The infection manifested itself as an external fistula at the drain site. The mesh was removed laparoscopically due to persistent suppuration. In the second case, mesh infection occurred 3 months after transabdominal preperitoneal hernia repair on the left. The patch was removed because of the persistent suppuration despite repetitive drainage and lavage. In the third case, mesh infection occurred in 15 days after transabdominal preperitoneal hernia repair on the right. External drainage was performed under CT guidance, but suppuration could not be stopped. Thus the mesh was removed. In three cases, infection could not be stopped after diagnosis despite drainage and antibiotic coverage, and then it was decided to remove the mesh. The meshes were removed under general anesthesia for the first two cases and under local anesthesia for the third one. During the follow-up period, no recurrences were noted. The mesh infections of these three cases, resistant to conservative treatment methods, completely disappeared after mesh removal.- - - - - - - - - - ranking = 6.4510824610254keywords = inguinal hernia, hernia (Clic here for more details about this article) |
9/11. Ileocutaneous fistula formation following laparoscopic polypropylene mesh hernia repair.A rare case of enterocutaneous fistula caused by chronic erosion of polypropylene mesh after laparoscopic repair of a recurrent inguinal hernia is described. Successful treatment was achieved by fistulectomy, total resection of the implanted mesh, and small-bowel segmental resection. The patient recovered well postoperatively, and at follow-up 18 months later, the herniorrhaphy has remained intact. This complication needs to be added to the differential diagnosis in patients who present inflammation, abscess formation, or cutaneous fistula following laparoscopic hernia repair.- - - - - - - - - - ranking = 2.1277061525634keywords = inguinal hernia, hernia (Clic here for more details about this article) |
10/11. Acquired umbilical fistula after repair of inguinal hernia: a case report.A 2-year, 9-month-old boy had an umbilical fistula after repair of an inguinal hernia at 8 months of age. Fistulography findings showed a duct running from the umbilicus toward the inguinal wound. Pathological finding of the surgically removed fistula demonstrated granulomatous tissues containing silk ligature. Acquired umbilical fistula is a rare complication of inguinal herniorrhaphy. Its clinical details as well as a review of the previously reported four cases are presented.- - - - - - - - - - ranking = 5keywords = inguinal hernia, hernia (Clic here for more details about this article) |
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