Intestinal fistula--a complication in the surgical treatment of the substitution mesh infection

• Published in: Chirurgia (Bucharest, Romania : 1990) Vol. 102; no. 3; pp. 345 - 348
• Main Authors: Sima, L, Creţu, O, Ancuşa, D, Fluture, V
• Format: Journal Article
• Language: Romanian
• Published: Romania 01.05.2007
• Subjects: Female; Hernia, Ventral - surgery; Humans; Intestinal Fistula - etiology; Intestinal Fistula - surgery; Intestine, Small; Middle Aged; Prosthesis-Related Infections - etiology; Prosthesis-Related Infections - surgery; Surgical Mesh - adverse effects; Treatment Outcome
• ISSN: 1221-9118

The infection of the substitute mesh, used in the treatment of the large abdominal eventrations is a very severe complication for the patient and also for the surgeon. The surgical treatment of this complication represents the ablation of the mesh with concomitant evacuation of the purulent collection and the annihilation of the infectious source. In the next stage, it will be applied a reconstruction method of the abdominal wall. The ablation of the mesh, especially if the infection was continuous for a long period, is very difficult and can have as consequences severe complications, one of them being the small intestine fistula. This paper presents the case of one patient with an infection of the substitution mesh that had a continuous evolution over a long period, approximately 3 years, and its ablation being complicated with a small intestine fistula.