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Deerenberg EB, Verhelst J, Hovius SER, et al. Mesh expansion as the cause of bulging after abdominal wall hernia repair. Int J Surg Case Rep. 2016;28:200-203doi: 10.1016/j.ijscr.2016.09.051.
Deerenberg, E. B., Verhelst, J., Hovius, S. E. R., & Lange, J. F. (2016). Mesh expansion as the cause of bulging after abdominal wall hernia repair. International journal of surgery case reports, 28200-203. https://doi.org/10.1016/j.ijscr.2016.09.051
Deerenberg, E B, et al. "Mesh expansion as the cause of bulging after abdominal wall hernia repair." International journal of surgery case reports vol. 28 (2016): 200-203. doi: https://doi.org/10.1016/j.ijscr.2016.09.051
Deerenberg EB, Verhelst J, Hovius SER, Lange JF. Mesh expansion as the cause of bulging after abdominal wall hernia repair. Int J Surg Case Rep. 2016;28:200-203. doi: 10.1016/j.ijscr.2016.09.051. Epub 2016 Sep 30. PMID: 27721198; PMCID: PMC5061296.
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Int J Surg Case Rep. 2016;28:200-203. doi: 10.1016/j.ijscr.2016.09.051. Epub 2016 Sep 30.

Mesh expansion as the cause of bulging after abdominal wall hernia repair.

International journal of surgery case reports

E B Deerenberg, J Verhelst, S E R Hovius, J F Lange

Affiliations

  1. Department of Surgery, Erasmus University Medical Center Rotterdam, The Netherlands. Electronic address: [email protected].
  2. Department of Surgery, Erasmus University Medical Center Rotterdam, The Netherlands. Electronic address: [email protected].
  3. Department of Plastic and Reconstructive Surgery, Erasmus University Medical Center Rotterdam, The Netherlands. Electronic address: [email protected].
  4. Department of Surgery, Erasmus University Medical Center Rotterdam, The Netherlands. Electronic address: [email protected].

PMID: 27721198 PMCID: PMC5061296 DOI: 10.1016/j.ijscr.2016.09.051

Abstract

BACKGROUND: Recurrence is the most important complication of abdominal wall reconstruction. It is possible the repair itself is intact, but bulging or expansion of mesh causes recurrent swelling's of the abdominal wall.

CASE SUMMARY: In this report, we present bulging of a polyester mesh due to central pore expansion.

DISCUSSION: Repetitive stress and variations in intra-abdominal pressure can change tensile strength and stretches mesh materials.

CONCLUSION: A swelling after abdominal wall repair can be caused by bulging of the mesh. A progressive bulging might be the result of failure of the mesh implant due to elongation. Mesh characteristics should be considered when choosing a feasible and suitable mesh for abdominal wall reconstruction. Clinical distinction between recurrent hernia and mesh bulging is difficult but therapeutically irrelevant in symptomatic patients.

Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Abdominal wall reconstruction; Bulging; Case report; Mesh; Recurrence

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