Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Large scrotal hernia: a complicated case of mesh migration, ascites, and bowel strangulation.

Nowak DD, Chin AC, Singer MA, Helton WS

Department of Surgery, University of Illinois at Chicago, M/C 958 840 S. Wood St. Room 435E, Chicago, IL 606012, USA.

A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient's scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.

Published 11 March 2005 in Hernia, 9(1): 96-9.
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