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Abdominal pseudocyst complicating incisional hernia repair: our experience and literature review

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Abstract

Giant pseudocyst is a rare complication of incisional hernia repairs whose etiology and incidence remains unknown. We have reviewed all cases of abdominal incisional hernia repair in our abdominal wall unit since its creation 6 years ago. Pseudocyst formation was observed in seven cases out of 871 incisional hernia repair operations. Four of them underwent surgical exploration with excision of the mass. To the best of our knowledge, only 18 cases of giant pseudocyst have been described in the literature. From both our personal experience and the reported literature, we understand that abdominal pseudocyst is an extremely rare or underreported late complication of hernia repair surgery. The complete excision of the cyst and its fibrous wall is the definitive treatment of choice.

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References

  1. Waldrep DJ, Shabot MM, Hiatt JR (1993) Mature fibrous cyst formation after Marlex mesh ventral herniorrhaphy: a newly described pathologic entity. Am Surg 59:716–718

    PubMed  CAS  Google Scholar 

  2. Arya N, Batey NR (1998) Pseudocyst formation after mesh repair of incisional hernia. J R Soc Med 9:647–649

    Google Scholar 

  3. Ogunbiyi SO, Morris-Stiff G, Sheridan WG (2004) Giant mature cyst formation following mesh repair of hernias: an underreported complication? Hernia 8:166–168

    Article  PubMed  CAS  Google Scholar 

  4. Mayagoitia JC, Almaraz A, Díaz C (2006) Two cases of cystic seroma following mesh incisional hernia repair. Hernia 10(1):83–86

    Article  PubMed  Google Scholar 

  5. Mehrotra PK, Ramachandran CS, Goel D, Arora V (2006) Giant pseudocyst of the anterior abdominal wall following mesh repair of incisional hernia: a rare complication managed laparoscopically. Hernia 10(2):192–194

    Article  PubMed  Google Scholar 

  6. Sahin-Tóth G, Halász T, Viczián C, Oláh T (2007) Late complication after mesh repair of incisional hernias: pseudocyst formation. Magy Seb 60(6):293–296

    PubMed  Google Scholar 

  7. Narayanan CD, Dinesh N (2008) Abdominal wall pseudocyst following abdominoplasty after postmastectomy radiation therapy. Hernia 12(5):545–547

    Article  PubMed  CAS  Google Scholar 

  8. Hoefkens MF, Vles WJ (2008) A giant pseudocyst following repair of an incisional hernia by a propylene mesh. Ned Tijdschr Geneeskd 152(4):216–220

    PubMed  CAS  Google Scholar 

  9. Morel-Lavallée M (1853) Epanchements traumatique de serosite. Arch Gen Med. Paris: Raige-Delorme M, pp 691–731

  10. Scaranelo AM, Davanço RA (2005) Pseudocyst formation after abdominal liposuction-extravasations of Morel-Lavallée on MR images. Br J Plast Sur 58:849–851

    Article  Google Scholar 

  11. Zecha PJ, Missotten FE (1999) Pseudocyst formation after abdominoplasty—extravasations of Morel-Lavallée. Br J Plast Surg 52(6):500–502

    Article  PubMed  CAS  Google Scholar 

  12. Carvajal Balaguera J, Oliart Delgado de Tórres S, Martín García-Almenta M et al (2006) Cystic pathology of the abdominal wall after laparotomy: a three-case report. Int J Surg 8(1):16

    Google Scholar 

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Correspondence to B. Ielpo.

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Ielpo, B., Cabeza, J., Jimenez, D. et al. Abdominal pseudocyst complicating incisional hernia repair: our experience and literature review. Hernia 15, 233–237 (2011). https://doi.org/10.1007/s10029-010-0640-9

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  • DOI: https://doi.org/10.1007/s10029-010-0640-9

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