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Cardiac tamponade as a life-threatening complication in hernia repair.
Surgery. 2012 Jul; 152(1):133-5.S

Abstract

BACKGROUND

The placement of mesh in the repair of all types of hernia has been reported to decrease recurrence rates. There are several well known complications related to mesh repairs, including infection, erosion, seroma, and pain. Lesser reported are cardiac injuries secondary to anchoring of the mesh to the diaphragm.

METHODS

We report 2 previously unreported, unpublished cases of cardiac tamponade after mesh fixation to the diaphragm and present a review of the literature and search of the US Food and Drug Administration's Manufacturer and User Device Experience (MAUDE) database.

RESULTS

We reviewed a total of 10 cases of cardiac tamponade in hiatal hernia repair, 6 resulting in patient mortality, 5 cases in ventral hernia repair, 4 being fatal. Ten cases were caused by the helical tacker, 2 by sutures, 1 by the straight stapler, and in 1 case the cause was not identified.

CONCLUSION

When anchoring mesh to the diaphragm, it is necessary to consider the risk of injury to the heart and cardiac tamponade, especially if the helical tacker is used in this region. Only with appropriate awareness and recognition can this catastrophic complication be avoided.

Authors+Show Affiliations

Chicago Institute of Minimally Invasive Surgery, Skokie, IL, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

21944871

Citation

Frantzides, Constantine T., and Scott N. Welle. "Cardiac Tamponade as a Life-threatening Complication in Hernia Repair." Surgery, vol. 152, no. 1, 2012, pp. 133-5.
Frantzides CT, Welle SN. Cardiac tamponade as a life-threatening complication in hernia repair. Surgery. 2012;152(1):133-5.
Frantzides, C. T., & Welle, S. N. (2012). Cardiac tamponade as a life-threatening complication in hernia repair. Surgery, 152(1), 133-5. https://doi.org/10.1016/j.surg.2011.08.009
Frantzides CT, Welle SN. Cardiac Tamponade as a Life-threatening Complication in Hernia Repair. Surgery. 2012;152(1):133-5. PubMed PMID: 21944871.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiac tamponade as a life-threatening complication in hernia repair. AU - Frantzides,Constantine T, AU - Welle,Scott N, Y1 - 2011/09/25/ PY - 2011/04/25/received PY - 2011/08/04/accepted PY - 2011/9/28/entrez PY - 2011/9/29/pubmed PY - 2012/9/12/medline SP - 133 EP - 5 JF - Surgery JO - Surgery VL - 152 IS - 1 N2 - BACKGROUND: The placement of mesh in the repair of all types of hernia has been reported to decrease recurrence rates. There are several well known complications related to mesh repairs, including infection, erosion, seroma, and pain. Lesser reported are cardiac injuries secondary to anchoring of the mesh to the diaphragm. METHODS: We report 2 previously unreported, unpublished cases of cardiac tamponade after mesh fixation to the diaphragm and present a review of the literature and search of the US Food and Drug Administration's Manufacturer and User Device Experience (MAUDE) database. RESULTS: We reviewed a total of 10 cases of cardiac tamponade in hiatal hernia repair, 6 resulting in patient mortality, 5 cases in ventral hernia repair, 4 being fatal. Ten cases were caused by the helical tacker, 2 by sutures, 1 by the straight stapler, and in 1 case the cause was not identified. CONCLUSION: When anchoring mesh to the diaphragm, it is necessary to consider the risk of injury to the heart and cardiac tamponade, especially if the helical tacker is used in this region. Only with appropriate awareness and recognition can this catastrophic complication be avoided. SN - 1532-7361 UR - https://www.unboundmedicine.com/medline/citation/21944871/Cardiac_tamponade_as_a_life_threatening_complication_in_hernia_repair_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0039-6060(11)00475-2 DB - PRIME DP - Unbound Medicine ER -