ArticleHernia : the journal of hernias and abdominal wall surgery2015
Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 12 citations in OpenAlex.
- Surgical disaster following hernia mesh infection and erroneous treatment strategy: A case report.International journal of surgery case reports · 2020Article
- Mesh-preservation approach to treatment of mesh infection after large incisional ventral hernia repair-how I do it.Annals of translational medicine · 2019Article
- A simplified laparoscopic approach to ventral hernia repair: a new "finned" mesh configuration with defect closure.Surgical endoscopy · 2016Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRemoval is the standard treatment for mesh infection following prosthetic hernia repair. However, certain types of mesh may be less amenable to removal even in the setting of active infection; we present four such cases, all involving the same composite mesh.
methodsFour high-risk patients underwent Parietex mesh implantation for large ventral wall hernias and developed subsequent Staphylococcus infections with attempted explantation of infected mesh and wound care.
resultsThere was inability to completely explant mesh in all four cases, leading to chronic purulent wounds and long-term complications.
conclusionWhile mesh infection is a recognized complication of prosthetic hernia repair, many synthetic meshes form a slimy biofilm and thus can be removed relatively easily. However, the structural qualities of certain types of mesh create ingrowth into tissues even in the setting of infection, resulting in inability to explant with subsequent long-term chronic wound complications.
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