Evidence map›Paper›PMID 40147201›Full record

ArticleInternational journal of surgery case reports2025

Asymptomatic plug erosion into the sigmoid colon after mesh plug hernia repair: A case report.

Noriyuki Sasaki, Shingo Mitomo, Yusuke Matsui, Yugo Ishii, Akira Sasaki

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Noriyuki SasakiDepartment of Surgery, Iwate Medical University School of Medicine, 2-1-1 Idaidori, Yahaba, Iwate 028-3695, Japan.; Department of Surgery, Iwate Prefectural Ninohe Hospital, 38-2 Okawarage, Horino, Ninohe, Iwate 028-6193, Japan.. Electronic address: nsasaki@iwate-med.ac.jp.
Shingo MitomoDepartment of Surgery, Iwate Prefectural Ninohe Hospital, 38-2 Okawarage, Horino, Ninohe, Iwate 028-6193, Japan.
Yusuke MatsuiDepartment of Surgery, Iwate Prefectural Ninohe Hospital, 38-2 Okawarage, Horino, Ninohe, Iwate 028-6193, Japan.
Yugo IshiiDepartment of Surgery, Iwate Prefectural Ninohe Hospital, 38-2 Okawarage, Horino, Ninohe, Iwate 028-6193, Japan.
Akira SasakiDepartment of Surgery, Iwate Medical University School of Medicine, 2-1-1 Idaidori, Yahaba, Iwate 028-3695, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMesh plug (MP) inguinal hernia repair is a technique associated with less postoperative pain and low recurrence. However, postoperative gastrointestinal complications due to plug erosion or migration have been reported. This report discusses a case of asymptomatic plug erosion into the sigmoid colon. CASE PRESENTATION: A 75-year-old male underwent a computed tomography (CT) scan due to abnormal results during lung cancer screening. He previously underwent MP hernia repair for bilateral inguinal hernias 19 years ago. Incidentally, CT scan revealed a hypodense mass in the left inguinal region with internal gas in traffic with the sigmoid colon. Plug erosion into the sigmoid colon was diagnosed. Partial resection of the sigmoid colon was done by removing the plug, and the Hartmann procedure was done to avoid leakage and infection. The on-lay patch was preserved because it was not infected. Two years postoperatively, there was no evidence of infection or recurrence of the inguinal hernia. DISCUSSION: This is the first reported asymptomatic case of plug erosion into the sigmoid colon. The patient was diagnosed later than other cases and had no risk factors (e.g., sigmoid diverticulum). The patient was asymptomatic likely because the plug was very slowly eroding into the normal sigmoid colon.

conclusionSerious complications due to erosion and migration of the plug may occur after MP hernia repair, but this may be asymptomatic in some cases.

Indexed as

Inguinal herniaMesh plug repair

Identifiers

PMID40147201
PMCPMC11985087

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.