Indwelling intraperitoneal symbotex mesh fused to small bowel.The patient underwent implantation, on two separate occasions, of symbotex mesh placed in the intraperitoneal position ((b)(6) 2019 and (b)(6) 2021).She developed a symptomatic recurrent incisional hernia after the last implantation.Her symptoms included severe pain and functional disability.At the time of explantation on (b)(6) 2022, the previous meshes were found to be fused to a portion of her small intestine requiring bowel resection as well as complete mesh explantation.She underwent a complex operation and had a complicated postoperative course which could have been avoided, had she not had the recurrence and not have the fusion of mesh to the small bowel.Fda safety report id # (b)(4).
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