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Hernia
Published in: Hernia 6/2018

01-12-2018 | Invited Commentary

Total or partial removal of infected mesh? Invited comment

Author: P. Ortega-Deballon

Published in: Hernia | Issue 6/2018

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Excerpt

Surgical site infection after hernia repair with a synthetic prosthesis is a feared complication for all surgeons. In this setting, we hope infection will be “only” superficial and the mesh will not get involved. When purulent discharge through the wound persists and the patient comes back at 2 or 3 months (sometimes 2 or 3 years), some surgeons act like ostriches, evoke a seroma or stitch rejection, and continue to hope… Nevertheless, most surgeons are concerned in this setting by the possibility of salvage of the mesh with local therapy or the further need for mesh removal. …
Literature
1.
Levy S, Moszkowicz D, Poghosyan T, Beauchet A, Chandeze M, Vychnevskaia K, Peschaud F, Bouillot JL (2018) Comparison of complete versus partial mesh removal for the treatment of chronic mesh infection after abdominal wall hernia repair. Hernia 22:773–779CrossRef
2.
Bueno-Lledo J, Torregrosa-Gallud A, Carreño-Saenz O et al (2017) Partial versus complete removal of the infected mesh after abdominal wall hernia repair. Am J Surg 214:47–52CrossRef
3.
Sabbagh C, Verhaeghe P, Brehant O et al (2012) Partial removal of infected parietal meshes is a safe procedure. Hernia 16:445–449CrossRef
4.
Greenberg JJ (2010) Can infected composite mesh be salvaged? Hernia 14:589–592CrossRef
5.
Shubinets V, Carney MJ, Colen DL et al (2018) Management of infected mesh after abdominal hernia repair: systematic review and single-institution experience. Ann Plast Surg 80:145–153PubMed
Metadata
Title
Total or partial removal of infected mesh? Invited comment
Author
P. Ortega-Deballon
Publication date
01-12-2018
Publisher
Springer Paris
Published in
Hernia / Issue 6/2018
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-018-1842-9

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