Enterocutaneous fistula (ECF) is a rare
and late complication following mesh repair for incisional hernias. This report
is a case series of two patients reporting ECF following 10 and 13 years after
open surgery for the incisional hernia. Laparotomy was performed in both and
the defect was repaired by anatomical closure without a mesh. This case report
emphasizes that although polypropylene mesh has been shown to be relatively
safe in many studies, it can at times be associated with long-term ECF.
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