Unusual complications of preperitoneal mesh implantation in the treatment of XXXX .

@entity1 @entity1494 @entity292 @entity547 @entity169
More and more prosthetic materials are being used in the treatment of @entity169 . This report deals with some unusual but devastating complications, occurring after preperitoneal mesh implantation. A 56-year old male @entity1 underwent a Stoppa-repair for a @entity169 . Two years postoperatively, a localized abdominal wall abscess was treated with antibiotics and drainage. A barium enema and a CT-scan of the abdomen were performed to rule out an enteric @entity292 ; the CT-scan unexpectedly revealed a tumoral mass involving the sigmoid colon, and an explorative laparotomy was done. Peroperatively, part of the mesh was found to penetrate the bowel wall and a sigmoidectomy with removal of the mesh was performed. Two years later, ingrowth of the urinary bladder by the remains of the mesh was the unfortunate peroperative finding when the @entity1 was operated on for an inflammatory mass, involving the bladder wall. The @entity1 needed two more interventions for persisting wound @entity292 . All the remains of the mesh have been removed and all @entity292 have been widely excised. Nowadays, the @entity1 is recovering well with complete healing of all wounds. Although infection of prostheses used in the treatment of @entity547 has been described, late and serious complications related to mesh implantation, such as perforation of the @entity1494 , have seldom been reported.
