Recurrent umbilical hernia with meshoma after prior mesh rep | Figure 1

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Recurrent umbilical hernia with meshoma after prior mesh repair

Male patient in his 60s

Chief Complaint:
Persistent serous drainage through the umbilical scar.

History:
The patient had a history of liver cirrhosis and previous umbilical hernia repair with mesh placement. He later developed persistent serous exudate through the umbilical scar, associated with local discomfort.

Diagnostic Workup:
Abdominal CT scan revealed recurrent umbilical hernia with evidence of meshoma at the previous surgical site.

Diagnosis:
Recurrent umbilical hernia with meshoma after prior mesh repair.

Treatment:
Surgical management included mesh explantation and abdominal wall reconstruction using a retromuscular repair technique.

Diagnosis added by author
Recurrent umbilical hernia with Meshoma after prior mesh repair

More about this case

Additional Cases

2.5 year old umbilical hernia repair with mesh. Arrow points to area where mesh comes through skin.

30-year-old female patient.
Current condition: Increased volume at the umbilical scar and discomfort when performing daily activities.
Protocol: Clinical diagnosis of umbilical hernia. Ultrasound for diagnostic confirmation.
Treatment: Umbilical hernia repair with preperitoneal mesh. 7.5 x 7.5 cm macroporous polypropylene mesh.

Umbilical Hernia, Female patient, 47 years old.
Medical history: Abdominoplastiy 3 years ago.
Increased volume at the umbilical scar and pain.
Protocol: Clinical diagnosis of umbilical hernia. Ultrasound is not needed for diagnostic confirmation.
Treatment: Umbilical hernia repair with preperitoneal mesh.
Macroporous polypropylene mesh, 7.5 x 7.5 cm.

Woman in her 50s.
Medical History: Open umbilical hernia repair.
Recurrent umbilical hernia repair by IPOM technique.
Reason for Consultation: Presenting with pain and increased volume in the previous laparoscopic trocar site.
Diagnosis Protocol: Ultrasound with findings consistent with incisional hernia; Abdominal CT Scan with valsalva showing small bowel contents in the hernial sac.
Treatment: Ventral Tapp with mesh; Medium-weight, macroporous polypropylene mesh.