29: Laparoscopic mesh excision for mesh erosion into the bladder

Laparoscopic Partial Cystectomy With Excision of Mesh Migration Into the Bladder Following Repair of Inguinal Hernia

Migration of hernia mesh into the bladder is a rare complication of inguinal hernioplasty. We present the case of an 85-year-old man who complained of hematuria and fever some 20 years after right hernioplasty. Cystoscopy and computed tomography revealed mesh migration into the right anterior wall of the bladder. Laparoscopic partial cystectomy with excision of the migrated mesh was performed s...

Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review

PURPOSE This review reports the incidence of mesh-related erosion after ventral mesh rectopexy to determine whether any difference exists in the erosion rate between synthetic and biological mesh. METHODS A systematic search of the MEDLINE and the Ovid databases was conducted to identify suitable articles published between 2004 and 2015. The search strategy capture terms were laparoscopic ven...

Suprapubic-assisted Transurethral Excision of a Vaginal Mesh Eroded Into the Bladder

A 56-year-old woman with irritative voiding symptoms and recurrent urinary infections was found to have erosion into the bladder of a tension-free vaginal tape placed 61 months before. To achieve radical excision, a 26Fr Amplatz sheath was placed suprapubically under endoscopic vision. A rigid nephroscope with grasping forceps was used to pull the eroded mesh out of the bladder wall while excis...

Mesh Erosion into Sigmoid Colon after Inguinal Hernia Repair

Laparoscopic Mesh Stapler

Minimally invasive (laparoscopic) ventral hernia repair is performed by covering the hernia defect with a sheet of prosthetic mesh, which requires fixation with a combination of staples and anchoring sutures. There are two major issues with this technique: (1) sometimes some of the staples need to be removed in order to adjust the mesh position prior to final fixation; and (2) anchoring sutures...