Peer-reviewed veterinary case report
Mesh eroding into the cecum after laparoscopic hernia repair
By Jouzdani T et al.·2025·Department of General Surgery·View original on Europe PMC →
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Original publication title: Mesh erosion into the cecum following laparoscopic intraperitoneal onlay mesh (IPOM) repair.
Plain-English summary
A 50-year-old woman with a condition called scleroderma, which affects her connective tissue, experienced ongoing abdominal pain, occasional diarrhea, and a feeling of fullness in her lower right abdomen after having surgery to repair an incisional hernia. Doctors used imaging tests, including a CT scan and colonoscopy, which showed that the mesh used in her surgery had eroded into her cecum, a part of the intestine. During surgery to explore the issue, they confirmed the erosion and performed a procedure to remove the affected section of her intestine and reconnect it. Fortunately, she recovered well without any complications after the surgery. This case highlights the importance of monitoring for potential issues after such surgeries, especially in patients with conditions that affect healing.
Abstract
<h4>Background</h4>Incisional hernia is a common complication of abdominal surgery, characterized by protrusion of abdominal contents through a weakened incision site. Although laparoscopic IPOM repair reduces recurrence rates compared to open repair, it carries a risk of rare complications, such as erosion of prosthetic mesh.<h4>Case presentation</h4>We describe a 50-year-old woman with a history of scleroderma who presented with chronic abdominal pain, intermittent diarrhea, and fullness in the right lower quadrant. Imaging evaluation, including CT scan and colonoscopy revealed erosion of prosthetic mesh into the cecum, which was confirmed during exploratory laparotomy. The patient underwent a segmental colectomy with ileocolic anastomosis and recovered without postoperative complications.<h4>Discussion</h4>Mesh erosion is an uncommon but serious complication of laparoscopic IPOM repair, potentially influenced by impaired wound healing in connective tissue disorders such as scleroderma. This case highlights the importance of careful postoperative monitoring and timely recognition of mesh-related complications.<h4>Conclusion</h4>This case emphasizes the need for increased awareness of the risk of prosthetic mesh erosion following intraperitoneal mesh repair and underscores the urgent need for further research into its long-term outcomes and complications.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41332076