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  • Title: Large scrotal hernia: a complicated case of mesh migration, ascites, and bowel strangulation.
    Author: Nowak DD, Chin AC, Singer MA, Helton WS.
    Journal: Hernia; 2005 Mar; 9(1):96-9. PubMed ID: 15278766.
    Abstract:
    A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient's scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.
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