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  • Title: Successful salvage of infected PTFE mesh after ventral hernia repair.
    Author: Kercher KW, Sing RF, Matthews BD, Heniford BT.
    Journal: Ostomy Wound Manage; 2002 Oct; 48(10):40-2, 44-5. PubMed ID: 12378002.
    Abstract:
    Rates of hernia recurrence following repair of abdominal wall hernia defects have been shown to be lower when prosthetic biomaterials are used, but their presence may be associated with a higher rate of infectious complications. Traditional surgical teaching has advocated removal of contaminated or exposed prosthetics, although the morbidity of these revisions is high. The case presented involves a ventral hernia repair complicated by methicillin-resistant Staphylococcus aureus infection and exposed polytetrafluoroethylene mesh. The open abdominal wound was successfully managed with a combination of intravenous antibiotics, local wound debridement, vacuum-assisted closure, and soft tissue coverage of the mesh. Eighteen months following surgical closure of the wound, no hernia recurrence or infection was evident.
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