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CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 107-110

Late ileocutaneous fistula due to onlay mesh fixation after incisional hernia repair


Department of Surgery, Durgabai-Deshmukh Hospital and Research Center, Vidyanagar, Hyderabad, India

Correspondence Address:
Varun Raju Thirumalagiri
Department of Surgery, Durgabai-Deshmukh Hospital and Research Center, Vidyanagar, Hyderabad - 500 044
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.134851

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It is a well-known established fact about the low recurrence rate after mesh repair as compared with anatomical repair of the incisional hernia. Hernioplasty with polypropylene onlay fixation is now widely popular all over the world and being practiced routinely in many centers. This is a case of ileocutaneous fistula that occurred lately due to a stitch (polypropylene) gone through the underlying small bowel wall at the time of previous onlay mesh repair after a long postoperative gap. Although many techniques were described (open and laparoscopic) for the mesh fixation to the abdominal wall, in cases of gross obesity with thinned out abdominal musculature, extreme care must be taken to fix the mesh to the anterior abdominal wall for prevention of rare delayed postoperative complications. Different techniques are discussed to prevent the above said complication.


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