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Hernia

, Volume 16, Issue 4, pp 475–479 | Cite as

Salvage of an infected titanium mesh in a large incisional ventral hernia using medicinal honey and vacuum-assisted closure: a case report and literature review

  • G. Chatzoulis
  • K. Chatzoulis
  • P. Spyridopoulos
  • P. Pappas
  • A. Ploumis
Case Report

Abstract

The overall reported percentage of mesh infections is 1.3%. Infections after incisional ventral hernia repair depend on many factors. Salvaging an infected mesh should be the priority, because serious complications are reported following mesh removal. In this case report, a methicillin-resistant Staphylococcus aureus (MRSA)-infected titanium mesh was salvaged by a novel technique, not requiring removal. The combination of vacuum-assisted closure (VAC™ therapy) of the wound and medical honey (L-Mesitran™) proved to be successful in leaving the mesh in situ. We report the successful management of this infected titanium mesh and review the literature regarding the possible pathogenetic mechanisms and treatment options.

Keywords

Hernia repair Infection MRSA Prosthetic mesh Honey 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • G. Chatzoulis
    • 1
  • K. Chatzoulis
    • 1
  • P. Spyridopoulos
    • 1
  • P. Pappas
    • 1
  • A. Ploumis
    • 2
  1. 1.First Department of Surgery424 General Military HospitalThessalonikiGreece
  2. 2.Department of Orthopaedics and RehabilitationUniversity of IoanninaIoanninaGreece

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