Abstract
After incorporation, textile meshes change their appearance markedly because of tissue ingrowth and integration into scar tissue. Migration and erosion, shrinkage and deformation, and fistula formation are rare but severe complications. To appreciate the clinical relevance, we have to keep in mind that 1.5 million meshes are implanted per year worldwide [1]. After mesh implantation, a significant number of patients will present to a doctor with mesh-related problems sooner or later. Among these may be either newly developed pain in the groin, functional problems in the hiatus if the mesh was placed around the oesophagus, or manifestation of fistulas to the intestines.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Junge K, Klinge U, Rosch R, Mertens PR, Kirch J, Klosterhalfen B, Lynen P. Schumpelick V. Decreased collagen type I/III ratio in patients with recurring hernia after implantation of alloplastic prostheses. Langenbecks Arch Surg 2004, 389:17–22
Crespi G, Giannetta E, Mariani F, Floris F, Pretolesi F, Marino P. Imaging of early postoperative complications after polypropylene mesh repair of inguinal hernia. Radiol Med (Torino) 2004, 108:107–115
Di MM, Runfola M, Magalini S, Sermoneta D, Gui D. Rippled mesh: a CT sign of abdominal wall ePTFE prosthesis infection. G Chir 2006, 27:384–387
Fischer T, Ladurner R, Gangkofer A, Mussack T, Reiser M, Lienemann A. Functional cine MRI of the abdomen for the assessment of implanted synthetic mesh in patients after incisional hernia repair: initial results. Eur Radio 2007, 17:3123–3129
Hodenius MA, Niendorf T, Krombach GA, Richtering W, Eckert T, Lueken H. Speldrich M, Gunther RW, Baumann M, Soenen SJ et al. Synthesis, physicochemical characterization and MR relaxometry of aqueous ferrofluids.. J Nanosci Nanotechnol 2008, 8:2399–2409
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Otto, J. et al. (2010). Concept of Visible Mesh and Possibilities for Analysis of Mesh Migration and Shrinkage. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Hernia Repair Sequelae. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11541-7_59
Download citation
DOI: https://doi.org/10.1007/978-3-642-11541-7_59
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-04552-3
Online ISBN: 978-3-642-11541-7
eBook Packages: MedicineMedicine (R0)