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01-04-2015 | Case Report

Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage

Authors: M. Hanna, S. Dissanaike

Published in: Hernia | Issue 2/2015

Abstract

Purpose

Removal 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.

Methods

Four 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.

Results

There was inability to completely explant mesh in all four cases, leading to chronic purulent wounds and long-term complications.

Conclusion

While 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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Title: Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage
Authors: M. Hanna
S. Dissanaike
Publication date: 01-04-2015
Publisher: Springer Paris
Published in: Hernia / Issue 2/2015
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-014-1330-9

At a glance: The STEP trials

Springer Medicine

Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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