Abstract
Chronic infection of a prosthetic mesh implant is a severe complication of ventral hernia repair, and mesh explantation is usually required in these cases. Biologic mesh implants have a possible role in ventral hernia repair in this setting. Here we present a case of chronic mesh infection following ventral hernia repair and the use of a biologic mesh to repair the existing defect following explantation of the infected mesh. Analysis of the explant material demonstrated possible oxidative degradation of the original polypropylene. A review of the literature follows.
References
Santora TA, Roslyn JJ (1993) Incisional hernia. Surg Clin North Am 73:557–570
Duce AM, Mugüerza JM, Viletta R, Martin J, Gutiérrez A, Diez M, Noguerales F, Graneil J (1997) The Rives operation for the repair of incisional hernias. Hernia 1:175–177
Bauer JJ, Harris MT, Gorfine SR, Kreel I (2002) Rives–Stoppa procedure for repair of large incisional hernias: experience with 57 patients. Hernia 6:120–123
LeBlanc KA (2004) Laparoscopic incisional and ventral hernia repair: complications—how to avoid and handle. Hernia 8:323–331
Luijendijk RW, Hop WC, van den Tol P, de Lange DC, Braaksma MM, Ijzermans JN, Boelhouwer RU, de Vries BC, Salu MK, Wereldsma JC, Bruijninckx CM, Jeekel J (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398
Surgical Product Index. Pulmon Medical Product Website. Available at: http://www.pulmonmedical.com/surgicalproducts/permacol/permacolindex.htm. Accessed July 31, 2006
Helton WS, Fisichella PM, Berger R, Horgan S, Espat NJ, Abcarian H (2005) Short-term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg 140:549–562
Franklin M, Gonzalez J, Glass J (2004) Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia 8:186–189
Baghai M, Osier CJ, Ramshaw BJ (2006) Are biologic mesh implants effective when used in infected ventral hernia wounds? Presented at Southeastern Surgical Congress. Am Surg (in press)
Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554
Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–400
Gonzalez R, Rodeheaver GT, Moody DL, Foresman PA, Ramshaw BJ (2004) Resistance to adhesion formation: a comparative study of treated and untreated mesh products placed in the abdominal cavity. Hernia 8:213–219
Matthews BD, Pratt BL, Pollinger HS, Backus CL, Kercher KW, Sing RF, Heniford BT (2003) Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. J Surg Res 114:126–132
McGinty JJ, Hogle NJ, McCarthy H, Fowler DL (2005) A comparative study of adhesion formation and abdominal wall ingrowth after laparoscopic ventral hernia repair in a porcine model using multiple types of mesh. Surg Endosc 19:786–790
Acknowledgments
This research was supported in part by a National Science Foundation Graduate Research Fellowship and funding from the University of Missouri-Columbia Food for the twenty-first Century (F21C) grant.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s10029-007-0223-6
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Saettele, T.M., Bachman, S.L., Costello, C.R. et al. Use of porcine dermal collagen as a prosthetic mesh in a contaminated field for ventral hernia repair: a case report. Hernia 11, 279–285 (2007). https://doi.org/10.1007/s10029-006-0186-z
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DOI: https://doi.org/10.1007/s10029-006-0186-z