Small bowel obstruction by mesh migration after umbilical hernia repair.
Small bowel obstruction by mesh migration after umbilical hernia repair.
复制标题
脐疝修补术后网片迁移导致小肠梗阻。
DOI：
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发表时间：
2007
影响因子：
0.8
通讯作者：
D. Giglio
中科院分区：
文献类型：
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作者：
A. Di Muria;V. Formisano;F. Di Carlo;A. Aveta;D. Giglio
描述了由于网状迁移导致肠梗阻的病例。一名患有 BPCO 和慢性心房颤动的 61 岁患者因机械性肠梗阻入院。 6 年前，他接受了脐疝补片修复术和脐切除术。剖腹探查显示阻塞是由于炎症阻塞造成的，其中包括穿透回肠环的聚丙烯网。进行肠切除和机械等蠕动 L-L 吻合术。术后因心肺问题而变得复杂，患者于第十七天出院。脐疝修补术后的假体移位是文献中从未描述过的事件；相反，有报道称腹股沟疝修补术后出现罕见的迁移病例。这种并发症的病理生理机制尚未明确，因此在使用疝网时需要谨慎的技术。
A case of intestinal obstruction due to mesh migration is described. A 61 year old patient affected by BPCO and chronic atrial fibrillation is admitted for mechanical intestinal obstruction. He underwent a umbilical hernia repair with mesh and omphalectomy 6 years before. Laparotomy revealed the obstruction due to an inflammatory block including polypropylene mesh penetrating an ileal loop. Intestinal resection and mechanical isoperistaltic L-L anastomosis is performed. The post-operative period is complicated by cardiorespiratory problems and the patient comes discharged in XVII day. The prosthesis migration after umbilical hernia repair is an event never described in the literature; instead rare cases of migration after inguinal hernia repair are reported. The pathophysiological mechanisms of this complication are not still cleared and that makes necessary a careful technique in the use of the hernia mesh.