Taco Friday! Taco Mesh

tacomesh

There is a really good chance that your mesh hernia repair will fail if the mesh is folded up like a taco rather than attached to the abdominal wall. As the image scrolls towards the bottom, the higher density Chevron shaped object contacting the anterior abdominal wall (and I use all of those terms loosely, pun intended) is the mesh.

Note the small bowel obstruction which is unrelated to the recurrent hernia and probably adhesive. Interestingly, the hernia does contain a loop of sigmoid colon which appears nonplussed by the adjacent wad of mesh.

On the upside…no abscess!

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