case_images: PMC6545489_01
case_images: Literature on mesh migration/erosion after ventral (n=2) and incisional hernia repair (n=15)
case_images: IPRS-08-09-t-001.jpg
case_images: PMC6545489_01_IPRS-08-09-t-001.jpg
case_images: T1
case_images: After antibiotic pretreatment, re-laparotomy with extirpation of the mesh, adhesiolysis, spare resection of the small bowel including the fistulas, ileo-ileostomy and reconstruction of the abdominal wall was performed in 4/18 (Figure 1 (Fig. 1),
case_images: First case. Intraoperative situs of the incised skin with the high output enterocutanous fistula
case_images: IPRS-08-09-g-001.jpg
case_images: PMC6545489_01_IPRS-08-09-g-001.jpg
case_images: F1
case_images: Figure 2 (Fig. 2), Figure 3 (Fig. 3)) . From the intraoperative findings it was clear that the mesh eroded the small bowel and caused the fistulas.
case_images: Implanted mesh with central enterocutanous fistula
case_images: IPRS-08-09-g-002.jpg
case_images: PMC6545489_01_IPRS-08-09-g-002.jpg
case_images: F2
case_images: Figure 2 (Fig. 2), Figure 3 (Fig. 3)) . From the intraoperative findings it was clear that the mesh eroded the small bowel and caused the fistulas.
case_images: Figure 3 : En-bloc exzised mesh with the enterocutanous fistula centrally
case_images: IPRS-08-09-g-003.jpg
case_images: PMC6545489_01_IPRS-08-09-g-003.jpg
case_images: F3
case_images: After 3 months of intensive wound-therapy, the patient was able to handle the low-output fistula like a small stoma and presented in 10/2018 with complete oral intake and a secretion of less than 5cc per day (Figure 4 (Fig. 4)).
case_images: PMC6545489_02
case_images: Stable low output entero-cutaneous fistula 24 months after resection of the migrated mesh. No evidence of hernia-recurrence (with written consent of the patient)
case_images: IPRS-08-09-g-004.jpg
case_images: PMC6545489_02_IPRS-08-09-g-004.jpg
case_images: F4
case_images: Second case. Enterocutanous fistula with migrated mesh
case_images: IPRS-08-09-g-005.jpg
case_images: PMC6545489_02_IPRS-08-09-g-005.jpg
case_images: F5
case_images: An exploratory laparotomy with removal of the mesh and en bloc resection of two segments of the small bowel was performed (Figure 6 (Fig. 6), Figure 7 (Fig. 7), Figure 8 (Fig. 8)).
case_images: Intraoperative picture of excision of migrated mesh with fistula
case_images: IPRS-08-09-g-006.jpg
case_images: PMC6545489_02_IPRS-08-09-g-006.jpg
case_images: F6
case_images: An exploratory laparotomy with removal of the mesh and en bloc resection of two segments of the small bowel was performed (Figure 6 (Fig. 6), Figure 7 (Fig. 7), Figure 8 (Fig. 8)).
case_images: Intraoperative picture of excision of migrated mesh with fistula
case_images: IPRS-08-09-g-007.jpg
case_images: PMC6545489_02_IPRS-08-09-g-007.jpg
case_images: F7
case_images: An exploratory laparotomy with removal of the mesh and en bloc resection of two segments of the small bowel was performed (Figure 6 (Fig. 6), Figure 7 (Fig. 7), Figure 8 (Fig. 8)).