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  • Title: [Conservative management of hernia mesh infection].
    Author: Ruiz-Tovar J, Rey Ibarra A, Devesa Múgica JM.
    Journal: Rev Gastroenterol Peru; 2011; 31(4):386-8. PubMed ID: 22476129.
    Abstract:
    INTRODUCTION: Standard management of infected mesh advocates its removal, but this often results in a larger hernia than at the time of original repair. In this article we describe a novel approach to manage conservatively an infected prosthetic mesh. PATIENT AND METHODS: Mesh infection rate at our institution was 1%. We describe 3 cases (inguinal, ventral and parastomal hernias) that presented prosthetic mesh infections. All the cases were satisfactorily managed with a conservative approach, consisting in wound opening and pressurized wound irrigation with gentamicin (80mg/8hours) and intravenous infusion of Amoxicilin/Clavulanic acid (875mg+125mg/8hours) during 7 days, achieving sterile cultures of the mesh surface in all the cases. A 3rd intention closure of the wound was performed. There is no clinical evidence of recurrent infection in any case. CONCLUSION: Conservative management of mesh infection, including drainage, antibiotic irrigation and wound closure, is a potential alternative to mesh removal.
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