Kishor R J1, Kuppan C T2, Narayanan Cunnigaiper Dhanasekaran3, Vishnu Sekar4. 1. Department of General Surgery, Sri Ramachandra Institute of Higher Education, Porur, Chennai, Tamil Nadu, 600116, India. Electronic address: kishor2295@gmail.com. 2. Department of General Surgery, Sri Ramachandra Institute of Higher Education, Porur, Chennai, Tamil Nadu, 600116, India. Electronic address: kuppanct@gmail.com. 3. Department of General Surgery, Sri Ramachandra Institute of Higher Education, Porur, Chennai, Tamil Nadu, 600116, India. Electronic address: cdnarayan24@yahoo.com. 4. Department of General Surgery, Sri Ramachandra Institute of Higher Education, Porur, Chennai, Tamil Nadu, 600116, India.
Abstract
INTRODUCTION AND IMPORTANCE: Mesh migration into urinary bladder is one of the rare complications following inguinal hernia repair (Laparoscopic/Open). On reviewing the literature, erosion of mesh following inguinal hernia repair has been into the urinary bladder in most of the cases, and the erosion may occur as early or late complication. It may occur as a result of improper suturing, inadequate fixation or foreign body reaction. The most common presentation is recurrent urinary tract infection and haematuria and may mimic bladder malignancy. CASE PRESENTATION: A 38-year male presented with recurrent UTI and mimicked to have bladder malignancy on CT scan. On Cystoscopy, mesh along with tackers is visualized within the bladder lumen. A diagnosis of Mesh migration into bladder following laparoscopic inguinal hernia repair was made. The Patient underwent Complete laparoscopic removal of mesh with partial cystectomy, per urethral and suprapubic catheter were placed. The patient made a good recovery without any post-operative complications. On follow-up, Patient underwent Fluoroscopy to look for urinary leakage, and suprapubic catheter removal was done. Patient is asymptomatic on follow-up. CLINICAL DISCUSSION: Mesh migration into bladder is one the rare complications following laparoscopic hernia repair. Proper preoperative evaluation is necessary to determine whether mesh is free floating in the bladder lumen or adherent to bladder wall. This will help in deciding the surgical technique for route of extraction. CONCLUSION: A case of mesh migration into the bladder can be easily managed by laparoscopic TAPP approach and it is better approach compared to other techniques.
INTRODUCTION AND IMPORTANCE: Mesh migration into urinary bladder is one of the rare complications following inguinal hernia repair (Laparoscopic/Open). On reviewing the literature, erosion of mesh following inguinal hernia repair has been into the urinary bladder in most of the cases, and the erosion may occur as early or late complication. It may occur as a result of improper suturing, inadequate fixation or foreign body reaction. The most common presentation is recurrent urinary tract infection and haematuria and may mimic bladder malignancy. CASE PRESENTATION: A 38-year male presented with recurrent UTI and mimicked to have bladder malignancy on CT scan. On Cystoscopy, mesh along with tackers is visualized within the bladder lumen. A diagnosis of Mesh migration into bladder following laparoscopic inguinal hernia repair was made. The Patient underwent Complete laparoscopic removal of mesh with partial cystectomy, per urethral and suprapubic catheter were placed. The patient made a good recovery without any post-operative complications. On follow-up, Patient underwent Fluoroscopy to look for urinary leakage, and suprapubic catheter removal was done. Patient is asymptomatic on follow-up. CLINICAL DISCUSSION: Mesh migration into bladder is one the rare complications following laparoscopic hernia repair. Proper preoperative evaluation is necessary to determine whether mesh is free floating in the bladder lumen or adherent to bladder wall. This will help in deciding the surgical technique for route of extraction. CONCLUSION: A case of mesh migration into the bladder can be easily managed by laparoscopic TAPP approach and it is better approach compared to other techniques.
Authors: Bogusława Żywicka; Marcin Henryk Struszczyk; Danuta Paluch; Krzysztof Kostanek; Izabella Krucińska; Krzysztof Kowalski; Kazimierz Kopias; Zbigniew Rybak; Maria Szymonowicz; Agnieszka Gutowska; Paweł Kubiak Journal: Materials (Basel) Date: 2022-04-05 Impact factor: 3.623