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Mesh Infection-Therapeutic Options

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Abstract

The use of meshes in hernia repair has become standard procedure throughout the world. Implantation of a mesh has been found to reduce the rate of recurrence in the repair of incisional hernias [13]. However, mesh-related complications have become increasingly important. Postherniorrhaphy mesh infection, mesh bowel intrusion, fistula formation, and eventual removal and reinsertion have been induced by mesh contamination during primary surgery. Mesh-related infections following surgery occur relatively infrequently compared with other device-related infections; an incidence of mesh-related infections after incisional hernia repair up to 8% has been reported [4].

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References

  1. Luijendijk RW, Hop WC, van den Tol MP, et al. (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398

    Article  CAS  PubMed  Google Scholar 

  2. Schumpelick V, Klosterhalfen B, Müller M, et al. (1999) Minimierte Polypropylen Netze zur präperitonealen Netzplastik (PNP): eine prospektive randomisierte klinische Studie. Chirurg 70:422–430

    Article  CAS  PubMed  Google Scholar 

  3. Schippers E, Harsányi A, Thumbs A, Schneider M (2001) Ergebnisse nach offener Netzplastik der Narbenhernie in Sublay-Technik. Viszeralchirurgie 36:152–156

    Article  Google Scholar 

  4. Copp WS IV, Harris JB, Lokey JS, McGill ES, Klove KL (2003) Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases. In: Proceedings of the Southeastern Surgical Congress, 7–11 February 2003, Savannah, Georgia. Vol 69, pp. 784–787

    Google Scholar 

  5. Deysine M (2004) The catastrophe: mesh infection and migration with fistula formation-life-long risk? In: Schumpelick V, Neuhaus LM (eds) Meshes: benefits and risks. Springer, Berlin, pp 207–227

    Google Scholar 

  6. Fry WJ, Lindenauer SM, Arbor A (1967) Infection complicating the use of plastic arterial implants. Arch Surg 94:600–609

    CAS  PubMed  Google Scholar 

  7. Antonopoulos IM, Nahas WC, Mazzucchi E, Piovesan AC, Birolini C, Lucon AM (2005) Is polypropylene mesh safe and effective for repairing infected incisional hernia in renal transplant recipients? Urology 66:874–877

    Article  PubMed  Google Scholar 

  8. Usher FC (1961) Knitted Marlex mesh: an improved marlex prosthesis for repairing hernias and other tissue defects. Arch Surg 82:153–155

    Google Scholar 

  9. Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21

    Article  Google Scholar 

  10. Leber GE, Garb JL, Alexander AI, Reed WP (1998) Longterm complications associated with prosthetic repar of incisional hernias. Arch Surg 133:378–382

    Article  CAS  PubMed  Google Scholar 

  11. Klinge U, Junge K, Spellerberg B, Piroth C, Klosterhalfen B, Schumpelick V (2002) Do multifilament alloplastic meshes increase the infection rate? Analyses of the polymeric surface, the bacteria adherence and the in vivo consequences in a rat model. J Biomed Materials Res 63:765–771

    Article  CAS  Google Scholar 

  12. Robinson TN, Clarke JH, Schoen J, Walsh MD (2005) Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surg Endosc 19:1556–1560

    Article  CAS  PubMed  Google Scholar 

  13. Deysine M (1998) Management of prosthetic infections in hernia surgery. Surg Clin North Am 78:1105–1115

    Article  CAS  PubMed  Google Scholar 

  14. Falagas A, Kasiakou SK (2004) Mesh-related infections after hernia repair surgery. European Society of Clinical Microbiology and Infectious Diseases CMI, 11:3–8

    Google Scholar 

  15. Salvati EA, Callaghan JJ, Brause BD, et al. (1986) Reimplantation in infection. Elution of gentamicin from cement and beads. Clin Orthop Rel Res 207:83–93

    Google Scholar 

  16. Costerton JW, Stewart PS, Greenberg EP (1999) Bacterial biofilms: a common cause of persistent infections. Science; 284:1318–1322

    Article  CAS  PubMed  Google Scholar 

  17. Engelsmann AF, van der Mei HC, Ploeg RJ, Busscher HJ (2007) The phenomenon of infection with abdominal wall reconstruction. Biomaterials 28:2314–2327

    Article  Google Scholar 

  18. Johnson LL, Peterson RV, Pitt WG (1998) Treatment of bacterial biofilms on polymeric biomaterials using antibiotics and ultrasound. J Biomater Sci Polym Ed 9:1177–1185

    Article  CAS  PubMed  Google Scholar 

  19. Darouiche R (2004) Treatment of infections associated with surgical implants. N Engl J Med 350:1422–1429

    Article  CAS  PubMed  Google Scholar 

  20. Fleischmann W, Bacher U, Bischoff M, Hoekstra H (1995) Vacuum sealing: indication, technique and results. Eur J Orthop Surg Traumatol 5:37–40

    Article  Google Scholar 

  21. Flament JB, Avisse C, Palot JP, Delattre JF (1999) Biomaterials-principles of implantation. In: Schumpelick V, Kingsnorth AN, et al. (eds) Incisional hernia. Springer, Berlin, pp 217–227

    Google Scholar 

  22. Klinge U, Conze J, Krones CJ, Schumpelick V (2005) Incisional hernia: open techniques. World J Surg 29:1066–1072

    Article  PubMed  Google Scholar 

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Schippers, E. (2010). Mesh Infection-Therapeutic Options. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Hernia Repair Sequelae. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11541-7_16

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  • DOI: https://doi.org/10.1007/978-3-642-11541-7_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-04552-3

  • Online ISBN: 978-3-642-11541-7

  • eBook Packages: MedicineMedicine (R0)

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