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 second case report was a (b)(6)-year-old male patient who had recurrent left inguinal hernia 3 years after his uncomplicated left inguinal hernia, in which (prolene) mesh hernioplasty.On examination, there was an absence of any prolene mesh over the posterior inguinal wall, though anchoring interrupted prolene sutures were in place.As a treatment, herniotomy was performed with modified lichtenstein¿s repair.The post-operative period was uneventful.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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