A rare cause of intestinal obstruction: dual mesh migration into the small intestine following laparoscopic umbilical hernia repair

Abstract

The laparoscopic approach is widely accepted worldwide for the management of Umbilical hernias. Here we report a case of intestinal obstruction due to migration of a composite dual mesh into the small intestine after laparoscopic umbilical hernia repair. A case was reported in which, a 50-year-old female patient presented in emergency department with 3 days history of constipation and a clinical picture of intestinal obstruction. She underwent laparoscopic umbilical hernia repair using dual mesh elsewhere 2 years back. As initial conservative management failed, emergency exploratory laparotomy was done which showed adhesions between the ileum and anterior abdominal wall and the mesh had migrated into the intestinal lumen and produced intestinal obstruction. The involved bowel was resected. It was concluded that mechanical small bowel obstruction is an uncommon and rare but possible complication after laparoscopic umbilical hernia repair using dual mesh.