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Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: Case report

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Tension-free and sutureless hernioplasty by plug and mesh of nonreabsorbable material is one of the most common techniques for inguinal hernia repair. It’s a simple and quick procedure with a low cost and allows for a short hospital stay. It shows a low reoccurrence rate, but it can result, in very few cases, in complications strictly related to prosthetic material. The literature describes some cases of plug migration from its proper position, for example, to the scrotum, preperitoneal adipose tissue, and abdominal cavity. We report on a case of sigmoid colon perforation due to a plug of Trabucco hernioplasty performed 2 years previously.

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Despite their relative rarity, the major complications of inguinal hernioplasty assume great importance if we look at the number of interventions performed. Every year in the United States, there are 700,000 patients operated on for inguinal hernias, and if 1.1% encounter generic complications, 7,000 cases have nonregular periods.

The case that we observed—fortunately the only one and unique for its gravity—confirms that there is no scale of importance in surgical interventions; this should not be a critique of the prosthetic hernioplasty technique, rather only an occasion to remember that the danger of the unexpected is frequently hidden in the most simple and common situations.

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Correspondence to M. Benedetti.

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Benedetti, M., Albertario, S., Niebel, T. et al. Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: Case report. Hernia 9, 93–95 (2005).

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