Formation of a Chronic Pain Syndrome Due to Mesh Shrinkage After Laparoscopic Intraperitoneal Onlay Mesh (IPOM)

被引:12
作者
Klein, Fritz [1 ]
Ospina, Carlos [1 ]
Rudolph, Birgit [2 ]
Wuestefeld, Joost [3 ]
Denecke, Timm [3 ]
Neuhaus, Peter [1 ]
Schmidt, Sven-Christian [1 ]
机构
[1] Univ Med Berlin, Dept Gen Visceral & Transplantat Surg, Charite Campus Virchow, D-13353 Berlin, Germany
[2] Univ Med Berlin, Dept Pathol, Charite Campus Virchow, D-13353 Berlin, Germany
[3] Univ Med Berlin, Charite Campus Mitte, Dept Radiol, Charite Campus Virchow, D-13353 Berlin, Germany
关键词
chronic pain syndrome; laparoscopic intraperitoneal onlay mesh; mesh shrinkage; ventral hernia repair (VHR); VENTRAL HERNIA REPAIR; INCISIONAL HERNIA; INTRAABDOMINAL PROSTHETICS; TRANSFASCIAL SUTURES; POLYPROPYLENE MESH; TERM OUTCOMES; RABBIT MODEL; METAANALYSIS; COMPLICATIONS; FIXATION;
D O I
10.1097/SLE.0b013e31825efc3c
中图分类号
R61 [外科手术学];
学科分类号
摘要
The case of a 58-year-old male patient who developed a chronic pain syndrome after laparoscopic intraperitoneal onlay mesh for treatment of a large symptomatic umbilical hernia combined with rectus diastasis is reported. Twelve months after an uncomplicated initial surgery, the patient presented with progressive signs of a foreign body sensation and pain in the anterior abdominal wall. Computed tomography examination revealed no pathologic findings but a marked shrinkage of the mesh implant. Because of further progressive symptoms, explorative laparotomy was performed. Mesh shrinkage and adhesions with a surrounding chronic tissue reaction were found as the cause of the pain syndrome. This case demonstrates a case of a chronic pain syndrome due to mesh shrinkage 12 months after initial ventral hernia repair. Mesh shrinkage should therefore be taken into consideration in patients with progressive pain chronic syndromes after laparoscopic ventral hernia repair.
引用
收藏
页码:E288 / E290
页数:3
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