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Hernia
Published in: Hernia 1/2013

01-02-2013 | Original Article

Infected large pore meshes may be salvaged by topical negative pressure therapy

Authors: F. Berrevoet, A. Vanlander, M. Sainz-Barriga, X. Rogiers, R. Troisi

Published in: Hernia | Issue 1/2013

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Abstract

Purpose

To evaluate the efficacy of negative pressure therapy for superficial and deep mesh infections after ventral and incisional hernia repair by a prospective monocentric observational study.

Methods

During a 6-year period, 724 consecutive open ventral and incisional hernia repairs were performed. Pre- and intraoperative data as well as postoperative complications were prospectively recorded. In case of wound infection, negative pressure therapy (NPT) was our primary treatment.

Results

Sixty-three patients (8.7 %) were treated using negative pressure therapy after primary ventral and incisional hernia repair. Infectious complications needing NPT occurred in 54 patients in the retromuscular group (54/523; 10.3 %), none when laparoscopically treated and in 9 patients (9/143; 6.3 %) treated by an open intraperitoneal mesh technique. Considering outcome, all meshes were completely salvaged in the retromuscular mesh group after a median of 5 dressing changes (range, 2–9), while in the intraperitoneal mesh, group 3 meshes needed complete (n = 2) or partial (n = 1) excision. Mean duration to complete wound closure was 44 days (range, 26–63 days).

Conclusion

NPT is a useful adjunct for salvage of deep infected meshes, particularly when large pore monofilament mesh is used.
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Metadata
Title
Infected large pore meshes may be salvaged by topical negative pressure therapy
Authors
F. Berrevoet
A. Vanlander
M. Sainz-Barriga
X. Rogiers
R. Troisi
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-012-0969-3

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