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Case Report
Mesh migration – Should it be a mandatory consentable complication?
1 Surgical Trainee, General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK; 2StR General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
2 StR General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
3 Consultant General Surgeon, Aberdeen Royal Infirmary, Aberdeen, UK
Address correspondence to:
Pia Persson
Colorectal Department, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN,
UK
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Article ID: 100057Z12PP2019
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How to cite this article
Persson P, Scrimgeour DSG, Parnaby C. Mesh migration – Should it be a mandatory consentable complication? J Case Rep Images Surg 2019;5:100057Z12PP2019.ABSTRACT
Introduction: Use of mesh in hernia repair is becoming more prevalent, particularly with new evidence supporting mesh repair over suture repair for even small ventral hernias to reduce recurrence. There is an acknowledgement that mesh-related complication rates are currently poorly reported and there is a need for improvement. Public awareness of complications due to the use of mesh in surgery is also increasing, particularly with the rise in complications associated with vaginal meshes documented in the press.
Case Report: We describe one of only a few cases reported in the literature of mesh migration into the transverse colon several years after laparoscopic repair of an incisional ventral hernia, and discuss whether mesh migration should be a mandatory consentable complication.
Conclusion: Consequences of mesh migration are undoubtedly severe, often resulting in symptoms including chronic abdominal pain, bowel obstruction, or fistulae formation, all of which may require significant surgical intervention. We feel surgeons should include mesh migration and its potential complications as part of the consent process.
Keywords: Consent, Hernia, Mesh, Mesh complications
SUPPORTING INFORMATION
Author Contributions
Pia Persson - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Duncan S GS crimgeour - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Craig Parnaby - Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Pia Persson et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
