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Vol 12, No 2 (2010)
Aktualności
Published online: 2011-02-04

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An unusual case of mesh implant migration into colostomy — case report

Wojciech Szczęsny, Andrzej Kapała, Jakub Szmytkowski, Adrian Reśliński, Stanisław Dąbrowiecki, Wojciech Stankiewicz
Chirurgia Polska 2010;12(2):112-117.

Abstract

An unusual case of migration of a mesh implant used for recurrent parastomal hernia repair is discussed in this report. The patient had undergone Miles’ procedure for colorectal carcinoma in 1993. Three years after the initial procedure he underwent surgery for stomal prolapse and during the following three years he was operated upon twice for parastomal hernia. Polypropylene mesh implants were used each time. Six years after the last procedure a parastomal abscess formed, followed by a fistula caused by a mesh migration into the stomal lumen. The stoma was excised together with the implant and a lateral colostomy was created in the right half of the transverse colon. The postoperative course was complicated by suppuration of both the laparotomy and the post-sigmostomy wound. Currently, the patient remains in good condition and the new stoma has been functioning properly, with mild signs of prolapse.

Polish Surgery 2010, 12, 2, 112–117

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Chirurgia Polska (Polish Surgery)