Abstract
Abstract The use of prosthetic mesh has become the standard practice for repairing all types of hernia due to its low recurrence rate. However, there is a small risk of mesh migration and erosion into the bowel, which can result in major morbidities. One treatment option for this condition is a surgical resection of the affected segment of the bowel, along with the removal of the mesh. We report on a 62-year-old male who had a mesh that migrated through his small bowel 16 years after his hernia repair. This patient developed recurrent umbilical discharge, pain and was treated in the community for recurrent omphalitis by GP. Delayed diagnosis led to chronic enterocutaneous fistula, which was treated with laparotomy, en bloc resection of small bowel/umbilicus/old hernia mesh, along with retrorectus mesh reconstruction of abdominal wall.
Published Version
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