Intestinal erosions following inguinal hernia repair: a systematic review
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REVIEW
Intestinal erosions following inguinal hernia repair: a systematic review Nikolaos Koliakos1 · Dimitrios Papaconstantinou1 · Constantinos Nastos1 · George Kirkilesis1 · Georgia Bompetsi1 · Anargyros Bakopoulos1 · Vasileia Ntomi1 · Emmanouil Pikoulis1 Received: 16 July 2020 / Accepted: 19 October 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Purpose To sum all available evidence regarding mesh or mesh fixation material intestinal erosion following inguinal hernia repair and identify the parameters that lead to early ( 6 months) symptom presentation. Methods A systematic literature search of the MEDLINE, Scopus and Google Scholar databases was undertaken to identify relevant studies published up to June 2020. Results A total of 54 case reports or cases series, incorporating 57 intestinal erosions were identified. Overall, 13 patients (23%) experienced early intestinal erosions occurring during the first 6 postoperative months while the remaining 44 events (67%) occurred after 6 months. Patients presented most commonly with symptoms of acute obstruction (n = 18, 31.5%), followed by signs of a palpable inguinal mass in 15 patients (26.3%). The late presentation group exhibited significantly more cases of mesh erosion when compared to the early presentation group (100% versus 46.2%, respectively, p
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