EP.TU.933Late enterocutaneous fistula formation after evisceration repair using intraperitoneal mesh

Abstract Introduction Intraperitoneal meshes pose a potential risk of complications, either due to the material itself or method fixation. Enteric fistulas are rare but serious complication following repair an abdominal wall reconstruction using intraperitoneal prosthesis. Case report We present 59-year-old male patient, who underwent surgery 5 years previously for urothelial carcinoma with radical cystoprostatectomy and Bricker-type urinary diversion, without subsequent radiotherapy. He presented evisceration in postoperative period treated inlay placement mesh, fascial closure. During these five wound did not any spontaneous intestinal drainage began through laparotomy. The physical exploration showed 2cm hole infraumbilical midline, defect 20x20cm contained by no parastomal hernia, BMI 31.2 kg/m2. Thoraco-abdominal CT studies were completed that ruled out other pathologies, nasal culture optimization performed parenteral nutrition glycosylated hemoglobin control achieve values below 6. was done posterior component separation transversus abdominis release, double mesh BioA PVDF final bridge measuring 8x5cm. prolonged ileus, admission two weeks. Discussion meshes, some which longer commercially available, represent complication. As long as we can optimize patient surgery, will improve results. Retromuscular large gives us good