It was reported via journal article: "title: recurrent inguinal hernia due to mesh dissolution: two case reports".Author: m.Shamim.Citation: hernia (2010) 14:313¿315; doi 10.1007/s10029-009-0536-8.The author presented two cases of inguinal hernia recurrences after mesh hernioplasty.The first report was a 38-year-old male patient who had recurrence of right inguinal hernia 6 months after an uncomplicated complete right inguinal hernia, in which (prolene) mesh hernioplasty was done.On re-exploration, the anchoring interrupted prolene sutures were in place, but there was an absence of mesh.As a treatment, herniotomy was performed with darning¿s and lichtenstein¿s repair in a single step.There was no recurrence at 3 years.In this report, the cause of recurrence was the absorption or dissolution of non-absorbable polypropylene (prolene) mesh.A counterfeit version of ethicon¿s prolene (polypropylene) mesh has been known to be distributed to usa hospitals and used in patients undergoing tension-free hernia repair.The implantation of counterfeit/pirated prolene polypropylene mesh can lead to adverse events such as recurrences (from complete dissolution/absorption).The surgeons dealing with hernias should know the difference between original and pirated prolene mesh.Additional reinforcement of the posterior wall of the inguinal canal can be done in cases of doubt in order to avoid recurrence.
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