An innovative abdominal wall repair technique for infected prosthesis: the Eskimo technique

Catena, Fausto; Catena, Fausto; Ansaloni, Luca; Neri, Flavia; Gazzotti, Filippo; Lazzareschi, Daniel; Pinna, Antonio Daniele

doi:10.5505/tjtes.2011.56767

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…Two patients were reported by Coccolini et al having a surgical site infection after a double-layered PP-e PTFE retromuscular mesh repair ( 20 ). The first patient had a surgical site infection that discovered with substantial abdominal wall tissue loss 2 weeks after the operation for a recurrence.…”

Section: Resultsmentioning

confidence: 99%

“…At 37 respective 35 months after the operation, the patients demonstrated no evidence of recurrence. The description of the technique used in these two patients implicates a bridging procedure ( 20 ).…”

Section: Resultsmentioning

confidence: 99%

“…The third option was to replace the explanted synthetic mesh with a biological mesh ( 5 , 16 – 20 ). Long-term results were successful only if bridging was omitted ( 5 , 16 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

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Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair

2016

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IntroductionThe incidence of deep infection using a synthetic mesh in inguinal hernia repair is low and reported to be well below 1%. This is in contrast to incisional hernia surgery where the reported incidence is 3% respective 13% comparing laparoscopic to open mesh repair reported in a Cochrane review. Main risk factors were long operation time, surgical site contamination, and early wound complications. An infected mesh can be preserved using conservative treatment were negative pressure wound therapy (VAC®) could play an important role. If strategy fails, the mesh needs to be removed. This review aims to look at evidence for situations were a biological mesh would work as a replacement of a removed infected synthetic mesh.Materials and methodsA literature search of the Medline database was performed using the PubMed search engine. Twenty publications were found relevant for this review.ResultsFor studies reviewed three options are presented: removal of the infected synthetic mesh alone, replacement with either a new synthetic or a new biological mesh. Operations were all performed at specialist centers. Removal of the mesh alone was an option limited to inguinal hernias. In ventral/incisional hernias, the use of a biological mesh for replacement resulted in a very high recurrence rate, if bridging was required. Either a synthetic or a biological mesh seems to work as a replacement when fascial closure can be achieved. Evidence is though very low.ConclusionWhen required, either a synthetic or a biological mesh seems to work as a replacement for an infected synthetic mesh if the defect can be closed. It is, however, not recommended to use a biological mesh for bridging. Mesh replacement surgery is demanding and is recommended to be performed in a specialist center.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair

2016

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“…The low incidence of suppurative complications, with neither removal of the patch nor recurrences in the short term, showed that nonabsorbable mesh repair in potentially contaminated fields was safe A recent literature review by Coccolini et al covered the use of biological meshes for abdominal reconstruction in emergency and elective setting in transplanted patients reported complication rate 9.4% 8 . The choice of the prosthesis depends on the site where it will be implanted, a reticular mesh (PP or Polyester) in prefascial and intra parietal sites (Chevrel and Rives procedure) a laminar (e PTFE) prosthesis intraperitoneally or a composite prosthesis since it avoids adhesions with viscera.…”

Section: Discussionmentioning

confidence: 99%

Study of Various Modalities in Management of Incision Hernia Repair

Rachha¹,

Shanmugam²,

Vangari³

et al. 2018

jebmh

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BACKGROUNDIncisional hernias are a major problem following abdominal surgery and their repairs are among the common surgeries done by a general surgeon.1 Besides the preoperative factors such as anaemia, BMI over 25 kg/m 2 and smoking which are leading causes contributing to the development of Incisional hernia, laparotomy performed through the abdominal incision doubles the risk of IH.2 In addition, wound infection, increases the risk of IH formation by 1.9 times.3 If left unattended they may attain large size therefore cause discomfort and lead to the complications like Obstruction, Strangulation, Incarceration increasing the risk of morbidity and mortality. 4 Treatment of IH involves further major surgery and the results may be poor, with the recurrence rates of up to 49% reported.5 A wide spectrum of surgical techniques have been developed and recommended ranging from sutured techniques to the various types of prosthetic mesh.

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“…[18][19][20][21][22][23][24][25][26][27][28] Biological meshes differ in terms of tissue ingrowth, the likelihood of subsequent infection, and the time to scaffold complete remodeling. Biological meshes are typically comprised of several different materials: porcine dermal collagen, human dermal collagen, bovine dermal or pericardium collagen and swine intestinal sub-mucosa.…”

Section: Articlementioning

confidence: 99%

An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

et al. 2018

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The treatment of duodenal perforations has scarce options and it is very difficult with an high failure rate. The aim of this work is to describe a new surgical technique that was used to treat ten patients suffering from duodenal perforation.The procedure based on the concept to enforce the duodenal suture with remodeling material allowing to the inflamed and oedematous tissues to heal without to be cut by the repairing stitches themselves, is performed with biological prosthesis patches.90% of patients treated with this innovative technique experienced a complete healing of the duodenal perforation.This unique surgical technique not only proved to be safe, but it also solved the 90% of duodenal perforations in patients at risk to die.

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An innovative abdominal wall repair technique for infected prosthesis: the Eskimo technique

Cited by 5 publications

References 20 publications

Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair

Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair

Study of Various Modalities in Management of Incision Hernia Repair

An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

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