SIGMOID PERFORATION, AN EXCEPTIONAL LATE COMPLICATION OF PERITONEAL PROSTHESIS FOR TREATMENT OF INGUINAL-HERNIA

Two cases of sigmoid perforation and fistula occurred as late complica tions after insertion of a nonresorbable prosthesis by the open preper itoneal inguinal route. These infrequent complications are favoured by peritoneal defects and use of materials which can cause extensive scl erous reactions. Indications for this type of mesh are increasingly co mmon with the intraperitoneal laparoscopic approach, so that careful p eritoneal dissection and closure are required.