A retrospective analysis of surgical treatment of mesh infection after repair of ventral hernia or defect

• DOI: 10.4238/2015.november.18.2
• Publication Date: 2015-11-24T11:28:39Z
• Authors: F.-D. Liu; J.-Y. Li; S. Yao; Y. Zhang
• Keywords: Ventral hernia; Surgical mesh; Hernia Repair; Abdominal Hernia

This study aimed to summarize our experience in surgical treatment of mesh infection after repair ventral hernia or defect. A retrospective analysis was conducted on clinical data 22 patients who accepted defect repair. Included were 16 cases incisional repair, 5 abdominal wall following tumor resection, and 1 case with fistula caused by a parastomal an ileal neobladder prosthetic patch. All had received local dressing for 2 24 months but not healed. The affected removed successfully all patients. Six using the component separation technique; 4 treated strengthened polypropylene mesh; 10 repaired human acellular dermal matrix; patient changes vacuum sealing drain without repair; wound closure postoperative hospital stay 9-29 days (mean days). After treatment, 19 recovered primary healing 3 secondary healing. followed up 6-38 26 months), no recurred except lower bulge. Mesh infections are difficult treat materials. For satisfactory results, surgery should be performed according specific condition individual.