Fate of chronically infected onlay mesh in groin wound

Abstract

This case report throws some light on the way in which the body handles an infected onlay mesh following groin hernia repair. It describes the case of a 73-year-old man who developed this rare complication and demonstrates the mechanism by which this complication occurred.

Prosthetic repair of an incarcerated groin hernia with small intestinal resection

“…While available reports suggest that deep wound infections are uncommon following mesh repair of inguinal hernias [15][16][17], mesh removal is usually required to facilitate cessation of the groin sepsis [16,18,19]. Antibiotics are ineffective against an established infection for a number of reasons.…”

Recurrence of inguinal herniae following removal of infected prosthetic meshes: a review of the literature

“…The included studies were six case series and one case report and these comprised a total of 40 patients in whom delayed onset infected mesh was removed. A second published case report on the topic of late-onset deep seated mesh infection [4] was identiWed; however, this did not speciWcally address the issue of recurrence following the removal of infected prosthetic mesh and was therefore excluded. The gender of included patients was traced in three case series and the case report-there were 27 male and 4 female patients [1,6,9,13]; the gender of the patients was not known in the three remaining case series [3,12,14].…”

“…This is usually not related to the prosthetic material [1,3] and can be resolved by using appropriate antibiotics although in some cases incision and drainage of any collections may be required [4]. Early post operative mesh infection, deWned as infection of the mesh occurring within a few days to weeks postoperatively, may occur despite the judicious use of prophylactic antibiotics [3,4] in up to 1.7% of cases [5]. However, rarely, the mesh may become infected months or even years after the original surgery.…”

“…The reported incidence of deep infection varies in diVerent case series and ranges from 0.03% to 1.4% [1,3]. Whereas early postoperative mesh infection is considered to be caused by contamination, the reasons behind delayed onset mesh infection are not clear [4]. Meshes incite a foreign body reaction and cause TNF-induced inXammation and leukocyte chemotaxis [7].…”

Reconstruction of an infected recurrent ventral hernia after a mesh repair using a pedicled tensor fascia lata flap: Report of two cases

“…The incidence has been reported to be 1% with primary healing patients, and 11% with postoperative wound infection. [1][2][3][4][5] Many techniques have been described for the repair of a ventral hernia, such as a primary suture repair, an open mesh repair, and a laparoscopic mesh repair. Recently, the use of prosthetic mesh has revolutionized the repair of ventral hernias.…”