Synthetic graft placement in the treatment of fascial dehiscence with necrosis and infection

McNeeley, S. Gene; Hendrix, Susan L.; Bennett, Suzanne; Singh, Amarpreet; Ransom, Scott B.; Kmak, David; Morley, George W.

doi:10.1016/s0002-9378(98)70006-7

Cited by 27 publications

(9 citation statements)

References 9 publications

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“…Favourable characteristics of polypropylene include its durability, pliability, high tensile strength, and good growth of Wbroblasts into the mesh [12,13]. Further, some authors have suggested that if the polypropylene mesh gets infected, this can generally be treated adequately with drainage and antibiotics, without the need for removal of the mesh [12,14]. However, this was not found in the present study, in which 56% of the meshes had to be removed, despite antibiotic therapy.…”

Section: Discussioncontrasting

confidence: 61%

“…Polypropylene mesh is not absorbable and is the material most widely used for abdominal wall replacement and reinforcement during hernia repair. Favourable characteristics of polypropylene include its durability, pliability, high tensile strength, and good growth of Wbroblasts into the mesh [12,13]. Further, some authors have suggested that if the polypropylene mesh gets infected, this can generally be treated adequately with drainage and antibiotics, without the need for removal of the mesh [12,14].…”

Section: Discussionmentioning

confidence: 99%

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Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh?

Riet

Steenwijk

Bonjer

et al. 2007

Hernia

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Section: Discussioncontrasting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh?

Riet

Steenwijk

Bonjer

et al. 2007

Hernia

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“…A study by van't Riet et al [19] shows that the use of absorbable mesh is associated with an increased incidence of complications and mortality when compared to nonabsorbable mesh material. Polypropylene mesh is the most widely used nonabsorbable material for abdominal wall replacement and reinforcement due to its favorable characteristics such as durability, pliability, high-tensile strength, porosity, and good growth of fibroblasts into the mesh [19, 20]. As in the presented case with actinomycotic infection, the polypropylene mesh has not resulted in any complications over a four-year follow-up period.…”

Section: Discussionmentioning

confidence: 97%

Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature

Çarkman

Ozben

Durak

et al. 2010

Case Reports in Medicine

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Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.

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“…10 Incidence of wound dehiscence was 0.26% which is concordance with Mc Neeley and colleagues. 11 Authors found incidence of perineal hematoma to be 0.59%. Cunningham et al found incidence of puepral hematoma varies from 0.66% to 0.01%.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of abnormal puerperium

Jeenwal

Jharbade

Singh

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Puerperium is strictly defined as the period of confinement during and just after birth. It is the period following childbirth during which body tissues specially the genital organ reverts back approximately to the pre-pregnant state both anatomically and physiologically. At some stages some of these well-orchestrated changes can go away resulting in complications which can endanger life.Methods: Retrospective c study was conducted in Department of Obstetrics and Gynecology of M.G.M. Medical College and M. Y. Hospitals, Indore. The cases were selected randomly from the patient who were admitted in M.Y. Hospital who had either a vaginal or caesarean delivery (both in our institution as well as outside institution) during the study period, irrespective of age, parity and registration status. Data was recorded in predesigned coded case report forms and statistical analysis was performed.Results: Authors found that puerperal pyrexia was the most common complication, accounting for 38.96% of total cases. The second most common complication was perineal pain affecting 28.15% of cases. The other complication was wound gaping/discharge (11.71%), mastitis and breast abscess (6.81%), secondary postpartum hemorrhage (5.33%), episiotomy gaping and infection (4%), perineal hematoma (0.59%), wound dehiscence (0.3%) and other rare causes accounted for 4.15% of the complication.Conclusions: Puerperal period is as important as antenatal period. Anaemia, suboptimal personal hygiene as well as improper sterilization can resulted in severe health hazards such as septicemia, disseminated intravascular coagulation as well as death. So, risk factor should be treated vigorously.

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Synthetic graft placement in the treatment of fascial dehiscence with necrosis and infection

Cited by 27 publications

References 9 publications

Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh?

Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh?

Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature

An evaluation of abnormal puerperium

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