Zhang Y, Lin H, Liu JM, Wang X, Cui YF, Lu ZY. Mesh erosion into the colon following repair of parastomal hernia: A case report. World J Gastrointest Surg 2023; 15(2): 294-302 [PMID: 36896303 DOI: 10.4240/wjgs.v15.i2.294]
Corresponding Author of This Article
Zhao-Yang Lu, MD, PhD, Chief Physician, Professor, Surgeon, Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, No. 23 Youzheng Road, Harbin 150001, Heilongjiang Province, China. lzy76772005@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Feb 27, 2023; 15(2): 294-302 Published online Feb 27, 2023. doi: 10.4240/wjgs.v15.i2.294
Mesh erosion into the colon following repair of parastomal hernia: A case report
Yu Zhang, Han Lin, Jia-Ming Liu, Xin Wang, Yi-Feng Cui, Zhao-Yang Lu
Yu Zhang, Han Lin, Jia-Ming Liu, Xin Wang, Yi-Feng Cui, Zhao-Yang Lu, Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
Author contributions: Zhang Y contributed to the conceptualization and methodology, wrote the original draft, reviewed, and edited; Lin H contributed to the conceptualization and methodology and collated the patient’s data; Liu JM and Wang X collated the patient’s data, reviewed, and edited; Cui YF reviewed, edited, and contributed to supervision; Lu ZY contributed to conceptualization, methodology, and supervision; All authors have read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhao-Yang Lu, MD, PhD, Chief Physician, Professor, Surgeon, Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, No. 23 Youzheng Road, Harbin 150001, Heilongjiang Province, China. lzy76772005@163.com
Received: December 2, 2022 Peer-review started: December 2, 2022 First decision: December 19, 2022 Revised: December 25, 2022 Accepted: February 8, 2023 Article in press: February 8, 2023 Published online: February 27, 2023 Processing time: 87 Days and 9.7 Hours
Abstract
BACKGROUND
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.
CASE SUMMARY
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.
CONCLUSION
Surgeons should consider mesh erosion since it has an insidious development and is difficult to diagnose at the early stage.
Core Tip: In recent years, mesh has become a standard repair method for parastomal hernia surgery because it has the advantages of a low recurrence rate and low postoperative pain. However, using mesh to repair parastomal hernias also carries potential dangers. We report a case of a rare complication caused by mesh erosion 3 years after parastomal hernia repair using the keyhole method. Its atypical symptoms and imaging findings complicated the diagnosis. The aim of this case report was to raise awareness of this rare complication among surgeons.
