Late cutaneous fistulae after prosthetic hernia repair of the abdominal wall

Chir Ital. 2004 Nov-Dec;56(6):825-9.

Abstract

Late cutaneous fistulae, after a hernioplasty operation for a hernia in the abdominal wall, represent an unusual complication. They can appear a considerable time after a hernioplasty operation and feature the presence of a fistula between the prosthesis and the cutaneous wall. The Authors report the cases of five patients who developed late cutaneous fistulae after an operation for the repair of a hernia of the abdominal wall and the treatment established in the end to correct the existing complication. All five patients were subjected to a second operation to achieve recovery. In fact, conservative medical treatment, before the operation, using antibiotic-therapy for this purpose proved to be ineffective. Only one patient developed hernia recurrence after surgical treatment. Late cutaneous fistulae represent a complication that is difficult to deal with as their treatment has yet to be clearly identified.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Aged
  • Cutaneous Fistula / diagnosis
  • Cutaneous Fistula / diagnostic imaging
  • Cutaneous Fistula / etiology*
  • Cutaneous Fistula / surgery
  • Female
  • Follow-Up Studies
  • Hernia, Abdominal / surgery*
  • Humans
  • Male
  • Middle Aged
  • Polyethylene Terephthalates
  • Polypropylenes
  • Postoperative Complications*
  • Prosthesis Implantation
  • Radiography
  • Recurrence
  • Reoperation
  • Time Factors
  • Treatment Outcome
  • Wound Healing

Substances

  • Polyethylene Terephthalates
  • Polypropylenes
  • Lavsan